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This is VAERS ID 274581

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274581
VAERS Form:
Age:
Gender:Female
Location:Maryland
Vaccinated:2007-02-20
Onset:2007-02-21
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Headache, Nausea

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:
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female (age not reported) who on 20-FEB-2007 was vaccinated with a 0.5 mL first dose of HPV. The patient was concomitantly vaccinated with a dose of Boostrix. On 21-FEB-2007 the patient experienc"ed nausea and a headache. The patient sought unspecified medical attention. On 22-FEB-2007, the headache was clearing and the nausea was gone. Additional information has been requested.


Changed on 12/8/2009

274581 Before After
VAERS Form:
Age:
Gender:Female
Location:Maryland
Vaccinated:2007-02-20
Onset:2007-02-21
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Headache, Nausea

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:
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA04016

Write-up:Information has been received from a physician concerning a female (age not reported) who on 20-FEB-2007 was vaccinated with a 0.5 mL first dose of HPV. The patient was concomitantly vaccinated with a dose of Boostrix. On 21-FEB-2007 the patient experienc"ed experienced nausea and a headache. The patient sought unspecified medical attention. On 22-FEB-2007, the headache was clearing and the nausea was gone. Additional information has been requested.


Changed on 9/14/2017

274581 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Maryland
Vaccinated:2007-02-20
Onset:2007-02-21
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / -
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Headache, Nausea

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:
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA04016

Write-up:Information has been received from a physician concerning a female (age not reported) who on 20-FEB-2007 was vaccinated with a 0.5 mL first dose of HPV. The patient was concomitantly vaccinated with a dose of Boostrix. On 21-FEB-2007 the patient experienced nausea and a headache. The patient sought unspecified medical attention. On 22-FEB-2007, the headache was clearing and the nausea was gone. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274581&WAYBACKHISTORY=ON


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