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This is VAERS ID 276265

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276265
VAERS Form:
Age:25.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-03-29
Submitted:2007-04-12
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / - RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Nausea, Pyrexia, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations: fever, nausea, vomiting~Measles Mumps Rubella (Virivac)~~0~In Patient
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': None

Write-up:pt states she had fever, nausea, vomiting and diarrhea for one and half days.


Changed on 12/8/2009

276265 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-03-29
Submitted:2007-04-12
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / - RA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Diarrhoea, Nausea, Pyrexia, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations: fever, nausea, vomiting~Measles Mumps Rubella (Virivac)~~0~In Patient
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': None

Write-up:pt states she had fever, nausea, vomiting and diarrhea for one and half days.


Changed on 10/14/2012

276265 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-03-29
Submitted:2007-04-12
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / - RA / -

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Nausea, Pyrexia, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations: fever, nausea, vomiting~Measles Mumps Rubella (Virivac)~~0~In Patient
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': None (blank)

Write-up:pt states she had fever, nausea, vomiting and diarrhea for one and half days.


Changed on 5/14/2017

276265 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-03-29
Submitted:2007-04-12
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / - RA / -

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Nausea, Pyrexia, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations: fever, nausea, vomiting~Measles + Mumps + Rubella (Virivac)~~0~In (Virivac)~~0.00~In Patient
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:pt states she had fever, nausea, vomiting and diarrhea for one and half days.


Changed on 9/14/2017

276265 Before After
VAERS Form:(blank) 1
Age:25.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-29
Onset:2007-03-29
Submitted:2007-04-12
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / - UNK RA / -

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Nausea, Pyrexia, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations: fever, nausea, vomiting~Measles + Mumps + Rubella (Virivac)~~0.00~In Patient
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:pt states she had fever, nausea, vomiting and diarrhea for one and half days.


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