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This is VAERS ID 274183

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274183
VAERS Form:
Age:18.0
Gender:Female
Location:Illinois
Vaccinated:2007-02-06
Onset:2007-02-06
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Chest pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: Allergic reaction to antibiotics
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning an 18 year old female, with no pertinent medical history with allergies to erythromycin and sulfamethoxazole (+) SEPTRA who on 06-FEB-2007 was vaccinated with Gardasil (yeast), (Lot # 654885"/1424F). There was no concomitant medication. On 06-FEB-2007 the patient developed chest pain when taking deep breaths. No other symptoms. The patient sought unspecified medical attention. At the time of the report, the patient had not recovered. Addition


Changed on 12/8/2009

274183 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Illinois
Vaccinated:2007-02-06
Onset:2007-02-06
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Chest pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: Allergic reaction to antibiotics
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA01062

Write-up:Information has been received from a registered nurse concerning an 18 year old female, with no pertinent medical history with allergies to erythromycin and sulfamethoxazole (+) SEPTRA who on 06-FEB-2007 was vaccinated with Gardasil (yeast), (Lot # 654885"/1424F). 654885/1424F). There was no concomitant medication. On 06-FEB-2007 the patient developed chest pain when taking deep breaths. No other symptoms. The patient sought unspecified medical attention. At the time of the report, the patient had not recovered. Addition Additional information has been requested.


Changed on 9/14/2017

274183 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Illinois
Vaccinated:2007-02-06
Onset:2007-02-06
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / - UNK UN / -

Administered by: Other      Purchased by: Other
Symptoms: Chest pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: Allergic reaction to antibiotics
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA01062

Write-up:Information has been received from a registered nurse concerning an 18 year old female, with no pertinent medical history with allergies to erythromycin and sulfamethoxazole (+) SEPTRA who on 06-FEB-2007 was vaccinated with Gardasil (yeast), (Lot # 654885/1424F). There was no concomitant medication. On 06-FEB-2007 the patient developed chest pain when taking deep breaths. No other symptoms. The patient sought unspecified medical attention. At the time of the report, the patient had not recovered. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274183&WAYBACKHISTORY=ON


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