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This is VAERS ID 276142

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276142
Age:16.0
Gender:Female
Location:New York
Vaccinated:2007-02-15
Onset:2007-02-16
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Nausea, Vomiting

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

Write-up:Information has been received from a licensed practical nurse concerning a 16 year old female with seasonal allergy who on 29-AUG-2006 was vaccinated intramuscularly with a first dose of Gardasil. On 06-NOV-2006, the patient was vaccinated intramuscularly"with a second dose of Gardasil. It was reported that the patient received the first and second dose without incident. On 15-FEB-2007, the patient was vaccinated intramuscularly with a third dose of Gardasil. Concomitant therapy included Loratadine. On 16-


Changed on 12/8/2009

VAERS ID: 276142 Before After
Age:16.0
Gender:Female
Location:New York
Vaccinated:2007-02-15
Onset:2007-02-16
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Nausea, Vomiting

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Loratadine
Current Illness:
Preexisting Conditions: Seasonal allergy
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0703USA00672

Write-up:Information has been received from a licensed practical nurse concerning a 16 year old female with seasonal allergy who on 29-AUG-2006 was vaccinated intramuscularly with a first dose of Gardasil. On 06-NOV-2006, the patient was vaccinated intramuscularly"with intramuscularly with a second dose of Gardasil. It was reported that the patient received the first and second dose without incident. On 15-FEB-2007, the patient was vaccinated intramuscularly with a third dose of Gardasil. Concomitant therapy included Loratadine. On 16- 16-FEB-2007, at midnight, the patient developed nausea and vomiting that lasted until 14:00 and the patient recovered. Unspecified medical attention was sought. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276142&WAYBACKHISTORY=ON


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