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This is VAERS ID 276328

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276328
VAERS Form:
Age:9.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-09
Onset:2007-04-10
Submitted:2007-04-10
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Torticollis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: 4/2/07 had a febrile illness with vomiting
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Gardasil #1 received 4/9/07 woke up 4/10/07 with acute torticoillis.


Changed on 12/8/2009

VAERS ID: 276328 Before After
VAERS Form:
Age:9.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-09
Onset:2007-04-10
Submitted:2007-04-10
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 LA / -

Administered by: Private      Purchased by: Unknown Public
Symptoms: Torticollis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: 4/2/07 had a febrile illness with vomiting
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Gardasil #1 received 4/9/07 woke up 4/10/07 with acute torticoillis.


Changed on 9/14/2017

VAERS ID: 276328 Before After
VAERS Form:(blank) 1
Age:9.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-09
Onset:2007-04-10
Submitted:2007-04-10
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 1 LA / -

Administered by: Private      Purchased by: Public
Symptoms: Torticollis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: 4/2/07 had a febrile illness with vomiting
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Gardasil #1 received 4/9/07 woke up 4/10/07 with acute torticoillis.


Changed on 2/14/2018

VAERS ID: 276328 Before After
VAERS Form:1
Age:9.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-09
Onset:2007-04-10
Submitted:2007-04-10
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 1 LA / -

Administered by: Private      Purchased by: Public
Symptoms: Torticollis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: 4/2/07 had a febrile illness with vomiting
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Gardasil #1 received 4/9/07 woke up 4/10/07 with acute torticoillis.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276328&WAYBACKHISTORY=ON


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