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This is VAERS ID 274327

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274327
VAERS Form:
Age:25.0
Gender:Female
Location:California
Vaccinated:0000-00-00
Onset:2006-10-26
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug administered at inappropriate site, Flushing, Nausea, Vomiting

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

Write-up:Information has been received from a health professional concerning a 25 year old Hispanic female engineer with no known drug allergies who, on an unspecified date, was vaccinated in the left gluteal muscle with a first dose of Gardasil. There was no conc"omitant medication. On 26 Oct 2006 the patient became flush, experienced vomiting and nausea. There was no illness at the time of vaccination. It was reported that the patient recovered the same day, 26 Oct 2006. Additional information has been requested.


Changed on 12/8/2009

274327 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:California
Vaccinated:0000-00-00
Onset:2006-10-26
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Drug administered at inappropriate site, Flushing, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA03840

Write-up:Information has been received from a health professional concerning a 25 year old Hispanic female engineer with no known drug allergies who, on an unspecified date, was vaccinated in the left gluteal muscle with a first dose of Gardasil. There was no conc"omitant concomitant medication. On 26 Oct 2006 the patient became flush, experienced vomiting and nausea. There was no illness at the time of vaccination. It was reported that the patient recovered the same day, 26 Oct 2006. Additional information has been requested.


Changed on 9/14/2017

274327 Before After
VAERS Form:(blank) 1
Age:25.0
Gender:Female
Location:California
Vaccinated:0000-00-00
Onset:2006-10-26
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Drug administered at inappropriate site, Flushing, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA03840

Write-up:Information has been received from a health professional concerning a 25 year old Hispanic female engineer with no known drug allergies who, on an unspecified date, was vaccinated in the left gluteal muscle with a first dose of Gardasil. There was no concomitant medication. On 26 Oct 2006 the patient became flush, experienced vomiting and nausea. There was no illness at the time of vaccination. It was reported that the patient recovered the same day, 26 Oct 2006. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274327&WAYBACKHISTORY=ON


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