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History of Changes from the VAERS Wayback Machine |
First Appeared on 12/31/2007 |
VAERS ID: | 274288 |
VAERS Form: | |
Age: | |
Gender: | Female |
Location: | Minnesota |
Vaccinated: | 2006-12-15 |
Onset: | 2006-12-15 |
Submitted: | 2007-03-14 |
Entered: | 2007-03-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 0 | UN / - |
Administered by: Other Purchased by: Unknown
Symptoms: Dizziness, Pyrexia, Adverse event
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: UNK
CDC 'Split Type':
Write-up: Information has been received from a registered nurse concerning a female who on approximately 15-DEC-2006 was vaccinated with a 0.5 ml dose of Gardasil. On approximately 15-DEC-2006 the patient developed high fever, dizziness and /"several adverse events"./" Unspecified medical attention was sought. At the time of the report, the patient was recovering and the physician discontinued further series of Gardasil. Additional information has been requested.
Vaccinated: | 2006-12-15 |
Onset: | 2006-12-15 |
Submitted: | 2007-03-14 |
Entered: | 2007-03-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 0 | UN / - |
Administered by: Other Purchased by: Unknown Other
Symptoms: Dizziness, Pyrexia, Adverse event
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: UNK
CDC 'Split Type': (blank) WAES0702USA03157
Write-up: Information has been received from a registered nurse concerning a female who on approximately 15-DEC-2006 was vaccinated with a 0.5 ml dose of Gardasil. On approximately 15-DEC-2006 the patient developed high fever, dizziness and /"several "several adverse events"./" events." Unspecified medical attention was sought. At the time of the report, the patient was recovering and the physician discontinued further series of Gardasil. Additional information has been requested.
Vaccinated: | 2006-12-15 |
Onset: | 2006-12-15 |
Submitted: | 2007-03-14 |
Entered: | 2007-03-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 0 1 | UN / - |
Administered by: Other Purchased by: Other
Symptoms: Dizziness, Pyrexia, Adverse event
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: UNK
CDC 'Split Type': WAES0702USA03157
Write-up: Information has been received from a registered nurse concerning a female who on approximately 15-DEC-2006 was vaccinated with a 0.5 ml dose of Gardasil. On approximately 15-DEC-2006 the patient developed high fever, dizziness and "several adverse events." Unspecified medical attention was sought. At the time of the report, the patient was recovering and the physician discontinued further series of Gardasil. Additional information has been requested.
Vaccinated: | 2006-12-15 |
Onset: | 2006-12-15 |
Submitted: | 2007-03-14 |
Entered: | 2007-03-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 1 | UN / - |
Administered by: Other Purchased by: Other
Symptoms: Dizziness, Pyrexia, Adverse event
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: UNK
CDC 'Split Type': WAES0702USA03157
Write-up: Information has been received from a registered nurse concerning a female who on approximately 15-DEC-2006 was vaccinated with a 0.5 ml dose of Gardasil. On approximately 15-DEC-2006 the patient developed high fever, dizziness and "several adverse events." Unspecified medical attention was sought. At the time of the report, the patient was recovering and the physician discontinued further series of Gardasil. Additional information has been requested.
Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274288&WAYBACKHISTORY=ON
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