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This is VAERS ID 276246

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276246
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:2007-02-19
Onset:2007-02-19
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Drug administered at inappropriate site

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a patient (age and gender unknown) who on 19-FEB-2007 was vaccinated with Gardasil (Lot number 654540/0800F). on 19-FEB-2007 the patient the received vaccine in the bottom. No further information"is available.


Changed on 12/8/2009

276246 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:2007-02-19
Onset:2007-02-19
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Drug administered at inappropriate site

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA04414

Write-up:Information has been received from a physician concerning a patient (age and gender unknown) who on 19-FEB-2007 was vaccinated with Gardasil (Lot number 654540/0800F). on 19-FEB-2007 the patient the received vaccine in the bottom. No further information"is information is available.


Changed on 9/14/2017

276246 Before After
VAERS Form:(blank) 1
Age:
Gender:Unknown
Location:Unknown
Vaccinated:2007-02-19
Onset:2007-02-19
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / - UNK UN / -

Administered by: Other      Purchased by: Other
Symptoms: Drug administered at inappropriate site

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA04414

Write-up:Information has been received from a physician concerning a patient (age and gender unknown) who on 19-FEB-2007 was vaccinated with Gardasil (Lot number 654540/0800F). on 19-FEB-2007 the patient the received vaccine in the bottom. No further information is available.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276246&WAYBACKHISTORY=ON


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