National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 276006

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276006
VAERS Form:
Age:16.0
Gender:Female
Location:Ohio
Vaccinated:2007-03-28
Onset:0000-00-00
Submitted:2007-04-04
Entered:2007-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 2 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Medication error

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: ANA (+), arthritis
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Inadvertently gave the 3rd dose 2 days after the 2nd dose (of Gardasil).


Changed on 9/14/2017

276006 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Ohio
Vaccinated:2007-03-28
Onset:0000-00-00
Submitted:2007-04-04
Entered:2007-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 2 3 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Medication error

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: ANA (+), arthritis
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Inadvertently gave the 3rd dose 2 days after the 2nd dose (of Gardasil).


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276006&WAYBACKHISTORY=ON


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166