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This is VAERS ID 274472

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274472
VAERS Form:
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-03-09
Onset:2007-03-10
Submitted:2007-03-13
Entered:2007-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Headache, Nausea, Pharyngolaryngeal pain, Pyrexia, Streptococcus serology negative

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: White blood cells 13.8 after 86 sc, Negative rapid strep.
CDC 'Split Type':

Write-up:Headache, nausea, fever and continued headache. High fever (temp 105F). Onset of fever 12 hours later same day complained of sore throat.


Changed on 12/8/2009

274472 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-03-09
Onset:2007-03-10
Submitted:2007-03-13
Entered:2007-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Headache, Nausea, Pharyngolaryngeal pain, Pyrexia, White blood cell count increased, Streptococcus serology negative

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: White blood cells 13.8 after 86 sc, Negative rapid strep.
CDC 'Split Type':

Write-up:Headache, nausea, fever and continued headache. High fever (temp 105F). Onset of fever 12 hours later same day complained of sore throat.


Changed on 6/14/2014

274472 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-03-09
Onset:2007-03-10
Submitted:2007-03-13
Entered:2007-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Nausea, Pharyngolaryngeal pain, Pyrexia, White blood cell count increased, Streptococcus serology negative

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: White blood cells 13.8 after 86 sc, Negative rapid strep.
CDC 'Split Type':

Write-up:Headache, nausea, fever and continued headache. High fever (temp 105F). Onset of fever 12 hours later same day complained of sore throat.


Changed on 5/14/2017

274472 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-03-09
Onset:2007-03-10
Submitted:2007-03-13
Entered:2007-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Nausea, Pharyngolaryngeal pain, Pyrexia, White blood cell count increased, Streptococcus serology negative

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: White blood cells 13.8 after 86 sc, Negative rapid strep.
CDC 'Split Type':

Write-up:Headache, nausea, fever and continued headache. High fever (temp 105F). Onset of fever 12 hours later same day complained of sore throat.


Changed on 9/14/2017

274472 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-03-09
Onset:2007-03-10
Submitted:2007-03-13
Entered:2007-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Nausea, Pharyngolaryngeal pain, Pyrexia, White blood cell count increased, Streptococcus serology negative

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: White blood cells 13.8 after 86 sc, Negative rapid strep.
CDC 'Split Type':

Write-up:Headache, nausea, fever and continued headache. High fever (temp 105F). Onset of fever 12 hours later same day complained of sore throat.


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