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This is VAERS ID 276145

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276145
VAERS Form:
Age:15.0
Gender:Female
Location:California
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Headache, Myalgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 15 year old female who in February 2007, was vaccinated with a first dose of Gardasil. The physician reported that the patient developed muscle pain, headache and dizziness after receiving the fi"rst dose. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. Additional information has been requested.


Changed on 12/8/2009

276145 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:California
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness, Headache, Myalgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': (blank) WAES0703USA00708

Write-up:Information has been received from a physician concerning a 15 year old female who in February 2007, was vaccinated with a first dose of Gardasil. The physician reported that the patient developed muscle pain, headache and dizziness after receiving the fi"rst first dose. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. Additional information has been requested.


Changed on 9/14/2017

276145 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:California
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Headache, Myalgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0703USA00708

Write-up:Information has been received from a physician concerning a 15 year old female who in February 2007, was vaccinated with a first dose of Gardasil. The physician reported that the patient developed muscle pain, headache and dizziness after receiving the first dose. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276145&WAYBACKHISTORY=ON


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