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This is VAERS ID 276229

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276229
VAERS Form:
Age:19.0
Gender:Female
Location:New York
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 / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Diarrhoea, Dyskinesia, Tremor, Vomiting

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

Write-up:Information has been received from an office receptionist concerning her 19 year old daughter who on an unspecified date was vaccinated with a first dose of Gardasil. The patient''''s arm was /"shaky/" after the first injection. On an unspecified date the p"atient received her 2nd dose of Gardasil. Subsequently, her arm was /"jumpy/" and she experienced vomiting and diarrhea. Unspecified medical attention was sought. The patient recovered. Additional information has requested.


Changed on 12/8/2009

276229 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:New York
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 / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Diarrhoea, Dyskinesia, Tremor, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA01300

Write-up:Information has been received from an office receptionist concerning her 19 year old daughter who on an unspecified date was vaccinated with a first dose of Gardasil. The patient''''s patient''s arm was /"shaky/" "shaky" after the first injection. On an unspecified date the p"atient patient received her 2nd dose of Gardasil. Subsequently, her arm was /"jumpy/" "jumpy" and she experienced vomiting and diarrhea. Unspecified medical attention was sought. The patient recovered. Additional information has requested.


Changed on 3/2/2010

276229 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:New York
Vaccinated:0000-00-00 2006-10-13
Onset:0000-00-00 2006-10-13
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0955F / 1 0 UN RA / UN IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Diarrhoea, Dyskinesia, Tremor, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01300

Write-up:Information has been received from an office receptionist concerning her 19 year old daughter who on an unspecified date was vaccinated with a first dose of Gardasil. The patient''s arm was "shaky" after the first injection. On an unspecified date the patient received her 2nd dose of Gardasil. Subsequently, her arm was "jumpy" and she experienced vomiting and diarrhea. Unspecified medical attention was sought. The patient recovered. Additional information has requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/6/2007. Follow up information has been received froma health professional concerning a 19 year old female who on 13-OCT-2006, AM was vaccinated IM in right arm with a first dose of GARDASIL lot #653978/0955F and on 02-JAN-2007, AM she received IM in to right arm the second dose of GARDASIL lot #653978/0955F. After first vaccination in October 2006, the patient experienced itchy and swollen at injection site. In approximately January 2007, at 6:00 PM patient was dizzy, very tired, had nausea and her arm was shaking and had arm weakness. Her hand would jump by itself once in a while. She was fine the next day. The patient recovered. No additional information is expected.


Changed on 4/7/2010

276229 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:New York
Vaccinated:2006-10-13
Onset:2006-10-13
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Dyskinesia, Fatigue, Injection site pruritus, Muscular weakness, Nausea, Tremor, Vomiting, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01300

Write-up:Information has been received from an office receptionist concerning her 19 year old daughter who on an unspecified date was vaccinated with a first dose of Gardasil. The patient''s arm was "shaky" after the first injection. On an unspecified date the patient received her 2nd dose of Gardasil. Subsequently, her arm was "jumpy" and she experienced vomiting and diarrhea. Unspecified medical attention was sought. The patient recovered. Additional information has requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/6/2007. Follow up information has been received froma health professional concerning a 19 year old female who on 13-OCT-2006, AM was vaccinated IM in right arm with a first dose of GARDASIL lot #653978/0955F and on 02-JAN-2007, AM she received IM in to right arm the second dose of GARDASIL lot #653978/0955F. After first vaccination in October 2006, the patient experienced itchy and swollen at injection site. In approximately January 2007, at 6:00 PM patient was dizzy, very tired, had nausea and her arm was shaking and had arm weakness. Her hand would jump by itself once in a while. She was fine the next day. The patient recovered. No additional information is expected.


Changed on 6/14/2014

276229 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:New York
Vaccinated:2006-10-13
Onset:2006-10-13
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Dyskinesia, Fatigue, Injection site pruritus, Muscular weakness, Nausea, Tremor, Vomiting, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01300

Write-up:Information has been received from an office receptionist concerning her 19 year old daughter who on an unspecified date was vaccinated with a first dose of Gardasil. The patient''s arm was "shaky" after the first injection. On an unspecified date the patient received her 2nd dose of Gardasil. Subsequently, her arm was "jumpy" and she experienced vomiting and diarrhea. Unspecified medical attention was sought. The patient recovered. Additional information has requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/6/2007. Follow up information has been received froma health professional concerning a 19 year old female who on 13-OCT-2006, AM was vaccinated IM in right arm with a first dose of GARDASIL lot #653978/0955F and on 02-JAN-2007, AM she received IM in to right arm the second dose of GARDASIL lot #653978/0955F. After first vaccination in October 2006, the patient experienced itchy and swollen at injection site. In approximately January 2007, at 6:00 PM patient was dizzy, very tired, had nausea and her arm was shaking and had arm weakness. Her hand would jump by itself once in a while. She was fine the next day. The patient recovered. No additional information is expected.


Changed on 5/14/2017

276229 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:New York
Vaccinated:2006-10-13
Onset:2006-10-13
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Dyskinesia, Fatigue, Injection site pruritus, Muscular weakness, Nausea, Tremor, Vomiting, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01300

Write-up:Information has been received from an office receptionist concerning her 19 year old daughter who on an unspecified date was vaccinated with a first dose of Gardasil. The patient''s arm was "shaky" after the first injection. On an unspecified date the patient received her 2nd dose of Gardasil. Subsequently, her arm was "jumpy" and she experienced vomiting and diarrhea. Unspecified medical attention was sought. The patient recovered. Additional information has requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/6/2007. Follow up information has been received froma health professional concerning a 19 year old female who on 13-OCT-2006, AM was vaccinated IM in right arm with a first dose of GARDASIL lot #653978/0955F and on 02-JAN-2007, AM she received IM in to right arm the second dose of GARDASIL lot #653978/0955F. After first vaccination in October 2006, the patient experienced itchy and swollen at injection site. In approximately January 2007, at 6:00 PM patient was dizzy, very tired, had nausea and her arm was shaking and had arm weakness. Her hand would jump by itself once in a while. She was fine the next day. The patient recovered. No additional information is expected.


Changed on 9/14/2017

276229 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:New York
Vaccinated:2006-10-13
Onset:2006-10-13
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Dyskinesia, Fatigue, Injection site pruritus, Muscular weakness, Nausea, Tremor, Vomiting, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01300

Write-up:Information has been received from an office receptionist concerning her 19 year old daughter who on an unspecified date was vaccinated with a first dose of Gardasil. The patient''s arm was "shaky" after the first injection. On an unspecified date the patient received her 2nd dose of Gardasil. Subsequently, her arm was "jumpy" and she experienced vomiting and diarrhea. Unspecified medical attention was sought. The patient recovered. Additional information has requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/6/2007. Follow up information has been received froma health professional concerning a 19 year old female who on 13-OCT-2006, AM was vaccinated IM in right arm with a first dose of GARDASIL lot #653978/0955F and on 02-JAN-2007, AM she received IM in to right arm the second dose of GARDASIL lot #653978/0955F. After first vaccination in October 2006, the patient experienced itchy and swollen at injection site. In approximately January 2007, at 6:00 PM patient was dizzy, very tired, had nausea and her arm was shaking and had arm weakness. Her hand would jump by itself once in a while. She was fine the next day. The patient recovered. No additional information is expected.


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