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This is VAERS ID 274703

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274703
VAERS Form:
Age:27.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-12
Onset:2007-02-13
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Feeling hot, Headache, Inappropriate schedule of drug administration, Motion sickness, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a nurse concerning a 27 year old female who on 12-FEB-2007 was vaccinated in the left deltoid with the first dose of Gardasil (lot # not provided). Subsequently, on 13-FEB-2007 the patient reported that her /"face felt h"ot/", she had a fever, nausea and headache. On 23-FEB-2007 the patient reported that she had an additional symptom similar to motion sickness. The patient sought unspecified medical attention. At the time of this report the patient has not recovered from


Changed on 12/8/2009

274703 Before After
VAERS Form:
Age:27.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-12
Onset:2007-02-13
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Feeling hot, Headache, Inappropriate schedule of drug administration, Motion sickness, Nausea, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0702USA04312

Write-up:Information has been received from a nurse concerning a 27 year old female who on 12-FEB-2007 was vaccinated in the left deltoid with the first dose of Gardasil (lot # not provided). Subsequently, on 13-FEB-2007 the patient reported that her /"face "face felt h"ot/", hot", she had a fever, nausea and headache. On 23-FEB-2007 the patient reported that she had an additional symptom similar to motion sickness. The patient sought unspecified medical attention. At the time of this report the patient has not recovered from the events. Additional information has been requested.


Changed on 6/14/2014

274703 Before After
VAERS Form:
Age:27.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-12
Onset:2007-02-13
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Feeling hot, Headache, Inappropriate schedule of drug administration, Motion sickness, Nausea, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0702USA04312

Write-up:Information has been received from a nurse concerning a 27 year old female who on 12-FEB-2007 was vaccinated in the left deltoid with the first dose of Gardasil (lot # not provided). Subsequently, on 13-FEB-2007 the patient reported that her "face felt hot", she had a fever, nausea and headache. On 23-FEB-2007 the patient reported that she had an additional symptom similar to motion sickness. The patient sought unspecified medical attention. At the time of this report the patient has not recovered from the events. Additional information has been requested.


Changed on 5/14/2017

274703 Before After
VAERS Form:
Age:27.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-12
Onset:2007-02-13
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Feeling hot, Headache, Inappropriate schedule of drug administration, Motion sickness, Nausea, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0702USA04312

Write-up:Information has been received from a nurse concerning a 27 year old female who on 12-FEB-2007 was vaccinated in the left deltoid with the first dose of Gardasil (lot # not provided). Subsequently, on 13-FEB-2007 the patient reported that her "face felt hot", she had a fever, nausea and headache. On 23-FEB-2007 the patient reported that she had an additional symptom similar to motion sickness. The patient sought unspecified medical attention. At the time of this report the patient has not recovered from the events. Additional information has been requested.


Changed on 9/14/2017

274703 Before After
VAERS Form:(blank) 1
Age:27.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-12
Onset:2007-02-13
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Feeling hot, Headache, Inappropriate schedule of drug administration, Motion sickness, Nausea, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0702USA04312

Write-up:Information has been received from a nurse concerning a 27 year old female who on 12-FEB-2007 was vaccinated in the left deltoid with the first dose of Gardasil (lot # not provided). Subsequently, on 13-FEB-2007 the patient reported that her "face felt hot", she had a fever, nausea and headache. On 23-FEB-2007 the patient reported that she had an additional symptom similar to motion sickness. The patient sought unspecified medical attention. At the time of this report the patient has not recovered from the events. Additional information has been requested.


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