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This is VAERS ID 274284

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274284
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-23
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Body temperature increased, Pharyngolaryngeal pain, Pyrexia

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: temperature measurement 01/23/07 100, temperature measurement 01/23/07 104.8
CDC 'Split Type':

Write-up:Information has been received from a nurse concerning a 17 year old female patient with pertinent medical history and drug reactions/allergies reported as unspecified on 23-JAN-2007 was vaccinated with Gardasil (lot # not reported) injection. On an unspec"ified date, the patient went to the hospital with a sore throat and a fever of 100 degrees. After receiving the Gardasil injection, her temperature went to 104.8 degrees on 23-JAN-2007. The physician administered antibiotics for her sore throat. The outco


Changed on 12/8/2009

274284 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-23
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Body temperature increased, Pharyngolaryngeal pain, Pyrexia

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: temperature measurement 01/23/07 100, temperature measurement 01/23/07 104.8
CDC 'Split Type': (blank) WAES0702USA03124

Write-up:Information has been received from a nurse concerning a 17 year old female patient with pertinent medical history and drug reactions/allergies reported as unspecified on 23-JAN-2007 was vaccinated with Gardasil (lot # not reported) injection. On an unspec"ified unspecified date, the patient went to the hospital with a sore throat and a fever of 100 degrees. After receiving the Gardasil injection, her temperature went to 104.8 degrees on 23-JAN-2007. The physician administered antibiotics for her sore throat. The outco outcome of the events was unspecified. Additional information has been requested.


Changed on 2/5/2010

274284 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-23
Onset:0000-00-00 2007-01-23
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Body temperature increased, Pharyngolaryngeal pain, Pyrexia

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: temperature measurement 01/23/07 100, temperature measurement 01/23/07 104.8
CDC 'Split Type': WAES0702USA03124

Write-up:Information has been received from a nurse concerning a 17 year old female patient with pertinent medical history and drug reactions/allergies reported as unspecified on 23-JAN-2007 was vaccinated with Gardasil (lot # not reported) injection. On an unspecified date, the patient went to the hospital with a sore throat and a fever of 100 degrees. After receiving the Gardasil injection, her temperature went to 104.8 degrees on 23-JAN-2007. The physician administered antibiotics for her sore throat. The outcome of the events was unspecified. Additional information has been requested.


Changed on 6/14/2014

274284 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Body temperature increased, Pharyngolaryngeal pain, Pyrexia

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: temperature measurement 01/23/07 100, temperature measurement 01/23/07 104.8
CDC 'Split Type': WAES0702USA03124

Write-up:Information has been received from a nurse concerning a 17 year old female patient with pertinent medical history and drug reactions/allergies reported as unspecified on 23-JAN-2007 was vaccinated with Gardasil (lot # not reported) injection. On an unspecified date, the patient went to the hospital with a sore throat and a fever of 100 degrees. After receiving the Gardasil injection, her temperature went to 104.8 degrees on 23-JAN-2007. The physician administered antibiotics for her sore throat. The outcome of the events was unspecified. Additional information has been requested.


Changed on 5/14/2017

274284 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Body temperature increased, Pharyngolaryngeal pain, Pyrexia

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: temperature measurement 01/23/07 100, temperature measurement 01/23/07 104.8
CDC 'Split Type': WAES0702USA03124

Write-up:Information has been received from a nurse concerning a 17 year old female patient with pertinent medical history and drug reactions/allergies reported as unspecified on 23-JAN-2007 was vaccinated with Gardasil (lot # not reported) injection. On an unspecified date, the patient went to the hospital with a sore throat and a fever of 100 degrees. After receiving the Gardasil injection, her temperature went to 104.8 degrees on 23-JAN-2007. The physician administered antibiotics for her sore throat. The outcome of the events was unspecified. Additional information has been requested.


Changed on 9/14/2017

274284 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Body temperature increased, Pharyngolaryngeal pain, Pyrexia

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: temperature measurement 01/23/07 100, temperature measurement 01/23/07 104.8
CDC 'Split Type': WAES0702USA03124

Write-up:Information has been received from a nurse concerning a 17 year old female patient with pertinent medical history and drug reactions/allergies reported as unspecified on 23-JAN-2007 was vaccinated with Gardasil (lot # not reported) injection. On an unspecified date, the patient went to the hospital with a sore throat and a fever of 100 degrees. After receiving the Gardasil injection, her temperature went to 104.8 degrees on 23-JAN-2007. The physician administered antibiotics for her sore throat. The outcome of the events was unspecified. Additional information has been requested.


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