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This is VAERS ID 274698

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274698
Age:24.0
Gender:Female
Location:Oklahoma
Vaccinated:2007-02-12
Onset:2007-02-12
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Influenza like illness, Pyrexia, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN, ULTRAM
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Temperature measurement 2/12/07 low grade fever
CDC 'Split Type':

Write-up:Information has been received from a licensed practical nurse concerning a 24 year old female with no pertinent medical history and no history of drug reactions/allergies who on 12-FEB-2007 was vaccinated with first dose of Gardasil (lot # not reported) 0".5 ml IM. Concomitant therapy included YASMIN and ULTRAM. On 12-FEB-2007, the patient developed a rash on her chest, low grade fever and she felt like she had the flu after receiving the first immunization with Gardasil. Unspecified medical attention was


Changed on 12/8/2009

VAERS ID: 274698 Before After
Age:24.0
Gender:Female
Location:Oklahoma
Vaccinated:2007-02-12
Onset:2007-02-12
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Influenza like illness, Pyrexia, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN, ULTRAM
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Temperature measurement 2/12/07 low grade fever
CDC 'Split Type': (blank) WAES0702USA04298

Write-up:Information has been received from a licensed practical nurse concerning a 24 year old female with no pertinent medical history and no history of drug reactions/allergies who on 12-FEB-2007 was vaccinated with first dose of Gardasil (lot # not reported) 0".5 0.5 ml IM. Concomitant therapy included YASMIN and ULTRAM. On 12-FEB-2007, the patient developed a rash on her chest, low grade fever and she felt like she had the flu after receiving the first immunization with Gardasil. Unspecified medical attention was sought. On 13-FEB-2007, the patient recovered. No other information was available at the tiem of reporting. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 274698 Before After
Age:24.0
Gender:Female
Location:Oklahoma
Vaccinated:2007-02-12
Onset:2007-02-12
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pyrexia, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN, ULTRAM
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Temperature measurement 2/12/07 low grade fever
CDC 'Split Type': WAES0702USA04298

Write-up:Information has been received from a licensed practical nurse concerning a 24 year old female with no pertinent medical history and no history of drug reactions/allergies who on 12-FEB-2007 was vaccinated with first dose of Gardasil (lot # not reported) 0.5 ml IM. Concomitant therapy included YASMIN and ULTRAM. On 12-FEB-2007, the patient developed a rash on her chest, low grade fever and she felt like she had the flu after receiving the first immunization with Gardasil. Unspecified medical attention was sought. On 13-FEB-2007, the patient recovered. No other information was available at the tiem time of reporting. Additional information has been requested. Additional information was received from the LPN who reported that the events occurred on 13-FEB-2007. The patient''s children were sick at the time. Her symptoms subsided the next day. No additional information is expected.


Changed on 4/7/2010

VAERS ID: 274698 Before After
Age:24.0
Gender:Female
Location:Oklahoma
Vaccinated:2007-02-12
Onset:2007-02-12
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pyrexia, Rash, Sick relative

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN, ULTRAM
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Temperature measurement 2/12/07 low grade fever
CDC 'Split Type': WAES0702USA04298

Write-up:Information has been received from a licensed practical nurse concerning a 24 year old female with no pertinent medical history and no history of drug reactions/allergies who on 12-FEB-2007 was vaccinated with first dose of Gardasil (lot # not reported) 0.5 ml IM. Concomitant therapy included YASMIN and ULTRAM. On 12-FEB-2007, the patient developed a rash on her chest, low grade fever and she felt like she had the flu after receiving the first immunization with Gardasil. Unspecified medical attention was sought. On 13-FEB-2007, the patient recovered. No other information was available at the time of reporting. Additional information has been requested. Additional information was received from the LPN who reported that the events occurred on 13-FEB-2007. The patient''s children were sick at the time. Her symptoms subsided the next day. No additional information is expected.


Changed on 6/14/2014

VAERS ID: 274698 Before After
Age:24.0
Gender:Female
Location:Oklahoma
Vaccinated:2007-02-12
Onset:2007-02-12
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pyrexia, Rash, Sick relative

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN, ULTRAM
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Temperature measurement 2/12/07 low grade fever
CDC 'Split Type': WAES0702USA04298

Write-up:Information has been received from a licensed practical nurse concerning a 24 year old female with no pertinent medical history and no history of drug reactions/allergies who on 12-FEB-2007 was vaccinated with first dose of Gardasil (lot # not reported) 0.5 ml IM. Concomitant therapy included YASMIN and ULTRAM. On 12-FEB-2007, the patient developed a rash on her chest, low grade fever and she felt like she had the flu after receiving the first immunization with Gardasil. Unspecified medical attention was sought. On 13-FEB-2007, the patient recovered. No other information was available at the time of reporting. Additional information has been requested. Additional information was received from the LPN who reported that the events occurred on 13-FEB-2007. The patient''s children were sick at the time. Her symptoms subsided the next day. No additional information is expected.


Changed on 5/14/2017

VAERS ID: 274698 Before After
Age:24.0
Gender:Female
Location:Oklahoma
Vaccinated:2007-02-12
Onset:2007-02-12
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Pyrexia, Rash, Sick relative

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN, ULTRAM
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Temperature measurement 2/12/07 low grade fever
CDC 'Split Type': WAES0702USA04298

Write-up:Information has been received from a licensed practical nurse concerning a 24 year old female with no pertinent medical history and no history of drug reactions/allergies who on 12-FEB-2007 was vaccinated with first dose of Gardasil (lot # not reported) 0.5 ml IM. Concomitant therapy included YASMIN and ULTRAM. On 12-FEB-2007, the patient developed a rash on her chest, low grade fever and she felt like she had the flu after receiving the first immunization with Gardasil. Unspecified medical attention was sought. On 13-FEB-2007, the patient recovered. No other information was available at the time of reporting. Additional information has been requested. Additional information was received from the LPN who reported that the events occurred on 13-FEB-2007. The patient''s children were sick at the time. Her symptoms subsided the next day. No additional information is expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274698&WAYBACKHISTORY=ON


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