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This is VAERS ID 274970

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274970
VAERS Form:
Age:19.0
Gender:Female
Location:Oregon
Vaccinated:2007-03-13
Onset:2007-03-13
Submitted:2007-03-19
Entered:2007-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Herpes simplex, Nausea, Pyrexia, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Lab work done at hospital no results available
CDC 'Split Type':

Write-up:Pt felt nauseous after receiving vaccine. Developed temperature $g102. Continued with a fever 102 deg -103.5 F x 5 days. Developed /"fever blisters/" in mouth. Saw a provider at hospital ED. Treated with Doxycycline.


Changed on 12/8/2009

274970 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Oregon
Vaccinated:2007-03-13
Onset:2007-03-13
Submitted:2007-03-19
Entered:2007-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 - / IM

Administered by: Other      Purchased by: Unknown Private
Symptoms: Herpes simplex, Nausea, Pyrexia, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Lab work done at hospital no results available
CDC 'Split Type':

Write-up:Pt felt nauseous after receiving vaccine. Developed temperature $g102. Continued with a fever 102 deg -103.5 F x 5 days. Developed /"fever blisters/" "fever blisters" in mouth. Saw a provider at hospital ED. Treated with Doxycycline.


Changed on 9/14/2017

274970 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Oregon
Vaccinated:2007-03-13
Onset:2007-03-13
Submitted:2007-03-19
Entered:2007-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 1 - / IM

Administered by: Other      Purchased by: Private
Symptoms: Herpes simplex, Nausea, Pyrexia, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Lab work done at hospital no results available
CDC 'Split Type':

Write-up:Pt felt nauseous after receiving vaccine. Developed temperature $g102. Continued with a fever 102 deg -103.5 F x 5 days. Developed "fever blisters" in mouth. Saw a provider at hospital ED. Treated with Doxycycline.


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