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This is VAERS ID 274972

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274972
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-03-27
Entered:2007-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Chest pain, Chest X-ray normal, Electrocardiogram normal, Fibrin D dimer normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Allergy Penicillin
Diagnostic Lab Data: Chest Xray & EKG within normal limit, Dedimer normal
CDC 'Split Type':

Write-up:Pt received Gardasil vaccine 1/11/07 at 100PM - Developed c/o chest pain late evening & went to hospital ER. Pt brought this to our attention 3/12/07 when she was scheduled for her second vaccination - dose not given. No intervention other than Advil give"n in ER.


Changed on 12/8/2009

VAERS ID: 274972 Before After
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-03-27
Entered:2007-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Chest pain, Chest X-ray normal, Electrocardiogram normal, Fibrin D dimer normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Allergy Penicillin
Diagnostic Lab Data: Chest Xray & EKG within normal limit, Dedimer normal
CDC 'Split Type':

Write-up:Pt received Gardasil vaccine 1/11/07 at 100PM - Developed c/o chest pain late evening & went to hospital ER. Pt brought this to our attention 3/12/07 when she was scheduled for her second vaccination - dose not given. No intervention other than Advil give"n given in ER.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274972&WAYBACKHISTORY=ON


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