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This is VAERS ID 276151

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276151
Age:18.0
Gender:Female
Location:Kansas
Vaccinated:2007-03-02
Onset:2007-03-02
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 654510/0962F / - UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Chest pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO-CYCLEN
Current Illness:
Preexisting Conditions: Smoker; Genital wart
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning an 18 year old female smoker (1/2 pack per day) with genital warts who on 02, Mar 2007 was vaccinated intramuscularly with a 0.5 mL dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot # 6545"10/0962F). Concomitant therapy included ethinyl estradiol/norgestimate (ORTHO-CYCLEN). On 02, Mar 2007, the patient experienced chest pain several hours post vaccination. The character and location of the chest pain was unknown. On 04, Mar 2007, the patie


Changed on 12/8/2009

VAERS ID: 276151 Before After
Age:18.0
Gender:Female
Location:Kansas
Vaccinated:2007-03-02
Onset:2007-03-02
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 654510/0962F / - UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Chest pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO-CYCLEN
Current Illness:
Preexisting Conditions: Smoker; Genital wart
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0703USA00876

Write-up:Information has been received from a registered nurse concerning an 18 year old female smoker (1/2 pack per day) with genital warts who on 02, Mar 2007 was vaccinated intramuscularly with a 0.5 mL dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot # 6545"10/0962F). 654510/0962F). Concomitant therapy included ethinyl estradiol/norgestimate (ORTHO-CYCLEN). On 02, Mar 2007, the patient experienced chest pain several hours post vaccination. The character and location of the chest pain was unknown. On 04, Mar 2007, the patie patient recovered from chest pain without medical attention on treatment. No further problem reported. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 276151 Before After
Age:18.0
Gender:Female
Location:Kansas Kentucky
Vaccinated:2007-03-02
Onset:2007-03-02
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 654510/0962F 0962F / - UN / IM

Administered by: Other Public      Purchased by: Other Public
Symptoms: Chest pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO-CYCLEN
Current Illness:
Preexisting Conditions: Smoker; Genital wart
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA00876

Write-up:Information has been received from a registered nurse concerning an 18 year old female smoker (1/2 pack per day) with genital warts who on 02, Mar 2007 was vaccinated intramuscularly with a 0.5 mL dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot # 654510/0962F). Concomitant therapy included ethinyl estradiol/norgestimate (ORTHO-CYCLEN). On 02, Mar 2007, the patient experienced chest pain several hours post vaccination. The character and location of the chest pain was unknown. On 04, Mar 2007, the patient recovered from chest pain without medical attention on treatment. No further problem reported. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 276151 Before After
Age:18.0
Gender:Female
Location:Kentucky
Vaccinated:2007-03-02
Onset:2007-03-02
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / - UN / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO-CYCLEN
Current Illness:
Preexisting Conditions: Smoker; Genital wart
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA00876

Write-up:Information has been received from a registered nurse concerning an 18 year old female smoker (1/2 pack per day) with genital warts who on 02, Mar 2007 was vaccinated intramuscularly with a 0.5 mL dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot # 654510/0962F). Concomitant therapy included ethinyl estradiol/norgestimate (ORTHO-CYCLEN). On 02, Mar 2007, the patient experienced chest pain several hours post vaccination. The character and location of the chest pain was unknown. On 04, Mar 2007, the patient recovered from chest pain without medical attention on treatment. No further problem reported. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 276151 Before After
Age:18.0
Gender:Female
Location:Kentucky
Vaccinated:2007-03-02
Onset:2007-03-02
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / - UN / IM

Administered by: Public      Purchased by: Public
Symptoms: Chest pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO-CYCLEN
Current Illness:
Preexisting Conditions: Smoker; Genital wart
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA00876

Write-up:Information has been received from a registered nurse concerning an 18 year old female smoker (1/2 pack per day) with genital warts who on 02, Mar 2007 was vaccinated intramuscularly with a 0.5 mL dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot # 654510/0962F). Concomitant therapy included ethinyl estradiol/norgestimate (ORTHO-CYCLEN). On 02, Mar 2007, the patient experienced chest pain several hours post vaccination. The character and location of the chest pain was unknown. On 04, Mar 2007, the patient recovered from chest pain without medical attention on treatment. No further problem reported. Additional information has been requested.


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