National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 274638

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274638
Age:19.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-01-11
Onset:2007-01-16
Submitted:2007-03-23
Entered:2007-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Herpes zoster, Tremor, Vomiting

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Seasonale(OCP), Novalog 1unit/20gm carbs, Lantus 9units @HS, Zoloft 100mg
Current Illness: Viral pharyngitis and ear pain at time of injection. T 98.7
Preexisting Conditions: IDDM onset 6-2005, Celiac Sprue 7-2006
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient states awoke during night with trembling, dizziness, vomiting x''''s 1 approx 5 days after injection#1. Pt with IDDM, BS elevated at that time. Episode lasted approx two hours. Also with similar complaints after Injection #2, will report as separate"event. Of note, pt diagnosed with Shingles on 3-5-07.


Changed on 12/8/2009

VAERS ID: 274638 Before After
Age:19.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-01-11
Onset:2007-01-16
Submitted:2007-03-23
Entered:2007-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dizziness, Herpes zoster, Tremor, Vomiting

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Seasonale(OCP), Novalog 1unit/20gm carbs, Lantus 9units @HS, Zoloft 100mg
Current Illness: Viral pharyngitis and ear pain at time of injection. T 98.7
Preexisting Conditions: IDDM onset 6-2005, Celiac Sprue 7-2006
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient states awoke during night with trembling, dizziness, vomiting x''''s x''s 1 approx 5 days after injection#1. Pt with IDDM, BS elevated at that time. Episode lasted approx two hours. Also with similar complaints after Injection #2, will report as separate"event. separate event. Of note, pt diagnosed with Shingles on 3-5-07.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274638&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166