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This is VAERS ID 274217

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274217
Age:11.0
Gender:Female
Location:Montana
Vaccinated:2006-12-15
Onset:2007-01-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Asthma exercise induced

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a certified medical assistant concerning her 11 year old daughter with no past medical history and no allergies who on 15-DEC-2006 was vaccinated with a first dose of Gardasil (yeast), IM. There was no concomitant medica"tion. On 11-JAN-2007 the patient experienced excerise induced asthma. The patient noticed that she was short of breath during exercise during sports. The patient had recovered without treatment on 30-JAN-2007. There were no relevant diagnostic tests or l


Changed on 12/8/2009

VAERS ID: 274217 Before After
Age:11.0
Gender:Female
Location:Montana
Vaccinated:2006-12-15
Onset:2007-01-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Asthma exercise induced

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA02397

Write-up:Information has been received from a certified medical assistant concerning her 11 year old daughter with no past medical history and no allergies who on 15-DEC-2006 was vaccinated with a first dose of Gardasil (yeast), IM. There was no concomitant medica"tion. medication. On 11-JAN-2007 the patient experienced excerise induced asthma. The patient noticed that she was short of breath during exercise during sports. The patient had recovered without treatment on 30-JAN-2007. There were no relevant diagnostic tests or l laboratory data. Additional information has been requested.


Changed on 8/31/2010

VAERS ID: 274217 Before After
Age:11.0
Gender:Female
Location:Montana
Vaccinated:2006-12-15
Onset:2007-01-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Asthma exercise induced

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02397

Write-up:Information has been received from a certified medical assistant concerning her 11 year old daughter with no past medical history and no allergies who on 15-DEC-2006 was vaccinated with a first dose of Gardasil (yeast), IM. There was no concomitant medication. On 11-JAN-2007 the patient experienced excerise induced asthma. The patient noticed that she was short of breath during exercise during sports. The patient had recovered without treatment on 30-JAN-2007. There were no relevant diagnostic tests or laboratory data. Additional information has been requested.


Changed on 4/13/2011

VAERS ID: 274217 Before After
Age:11.0
Gender:Female
Location:Montana
Vaccinated:2006-12-15
Onset:2007-01-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Asthma exercise induced

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02397

Write-up:Information has been received from a certified medical assistant concerning her 11 year old daughter with no past medical history and no allergies who on 15-DEC-2006 was vaccinated with a first dose of Gardasil (yeast), IM. There was no concomitant medication. On 11-JAN-2007 the patient experienced excerise induced asthma. The patient noticed that she was short of breath during exercise during sports. The patient had recovered without treatment on 30-JAN-2007. There were no relevant diagnostic tests or laboratory data. Additional information has been requested.


Changed on 5/13/2011

VAERS ID: 274217 Before After
Age:11.0
Gender:Female
Location:Montana
Vaccinated:2006-12-15
Onset:2007-01-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Asthma exercise induced

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02397

Write-up:Information has been received from a certified medical assistant concerning her 11 year old daughter with no past medical history and no allergies who on 15-DEC-2006 was vaccinated with a first dose of Gardasil (yeast), IM. There was no concomitant medication. On 11-JAN-2007 the patient experienced excerise induced asthma. The patient noticed that she was short of breath during exercise during sports. The patient had recovered without treatment on 30-JAN-2007. There were no relevant diagnostic tests or laboratory data. Additional information has been requested.


Changed on 6/11/2011

VAERS ID: 274217 Before After
Age:11.0
Gender:Female
Location:Montana
Vaccinated:2006-12-15
Onset:2007-01-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Asthma exercise induced

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02397

Write-up:Information has been received from a certified medical assistant concerning her 11 year old daughter with no past medical history and no allergies who on 15-DEC-2006 was vaccinated with a first dose of Gardasil (yeast), IM. There was no concomitant medication. On 11-JAN-2007 the patient experienced excerise induced asthma. The patient noticed that she was short of breath during exercise during sports. The patient had recovered without treatment on 30-JAN-2007. There were no relevant diagnostic tests or laboratory data. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274217&WAYBACKHISTORY=ON


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