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This is VAERS ID 276122

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276122
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Alopecia, Myalgia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a pediatrician concerning a female who was vaccinated with a 0.5 ml dose of Gardasil. Subsequently the patient experienced muscle aches and hair loss. On 02-MAR-2007, the patient was going to the pediatrician''''s office f"or evaluation. the pediatrician reported that the vaccine was administered by the patient''''s OB/GYN. No further information is available.


Changed on 12/8/2009

VAERS ID: 276122 Before After
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Alopecia, Myalgia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA00390

Write-up:Information has been received from a pediatrician concerning a female who was vaccinated with a 0.5 ml dose of Gardasil. Subsequently the patient experienced muscle aches and hair loss. On 02-MAR-2007, the patient was going to the pediatrician''''s pediatrician''s office f"or for evaluation. the pediatrician reported that the vaccine was administered by the patient''''s patient''s OB/GYN. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276122&WAYBACKHISTORY=ON


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