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This is VAERS ID 274596

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274596
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-09
Onset:2007-02-22
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: Influenza like illness, 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: MANTOUX SKIN TEST
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a consumer concerning her daughter, an 18 year old female patient who on 09-FEB-2007 was vaccinated with the first dose of Gardasil. The caller reported that on 10-FEB-2007, her daughter /"had a TB test administered. /"O"n 22-FEB-2007 the patient experienced fever and flu-like symptoms. The patient sought unspecified medical attention. Additional information is not expected.


Changed on 12/8/2009

274596 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-09
Onset:2007-02-22
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: Influenza like illness, 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: MANTOUX SKIN TEST
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA04221

Write-up:Information has been received from a consumer concerning her daughter, an 18 year old female patient who on 09-FEB-2007 was vaccinated with the first dose of Gardasil. The caller reported that on 10-FEB-2007, her daughter /"had "had a TB test administered. /"O"n "On 22-FEB-2007 the patient experienced fever and flu-like symptoms. The patient sought unspecified medical attention. Additional information is not expected.


Changed on 9/14/2017

274596 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-09
Onset:2007-02-22
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: Influenza like illness, 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: MANTOUX SKIN TEST
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA04221

Write-up:Information has been received from a consumer concerning her daughter, an 18 year old female patient who on 09-FEB-2007 was vaccinated with the first dose of Gardasil. The caller reported that on 10-FEB-2007, her daughter "had a TB test administered. "On 22-FEB-2007 the patient experienced fever and flu-like symptoms. The patient sought unspecified medical attention. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274596&WAYBACKHISTORY=ON


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