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This is VAERS ID 276164

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276164
Age:15.0
Gender:Female
Location:Connecticut
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. - / 1 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Body temperature increased, Pyrexia, Activities of daily living impaired

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: body temp, 01/??/07, 102.5
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 15 year old female patient who in January 2007 was vaccinated with a second dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). The patient developed a fever of 102.5F for 3 days after her injection."The patient missed one day of school. Unspecified medical attention was sought. The patient recovered. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 276164 Before After
Age:15.0
Gender:Female
Location:Connecticut
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. - / 1 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Body temperature increased, Pyrexia, Activities of daily living impaired

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: body temp, 01/??/07, 102.5
CDC 'Split Type': (blank) WAES0703USA01086

Write-up:Information has been received from a physician concerning a 15 year old female patient who in January 2007 was vaccinated with a second dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). The patient developed a fever of 102.5F for 3 days after her injection."The injection. The patient missed one day of school. Unspecified medical attention was sought. The patient recovered. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276164&WAYBACKHISTORY=ON


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