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This is VAERS ID 276564

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276564
VAERS Form:
Age:17.0
Gender:Female
Location:Florida
Vaccinated:2007-03-23
Onset:0000-00-00
Submitted:2007-04-10
Entered:2007-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dysfunctional uterine bleeding

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: None
Allergies:
Diagnostic Lab Data: Pending
CDC 'Split Type':

Write-up:Dysfunctional uterine bleeding, without prior history of said WT = 100 lb.


Changed on 12/8/2009

276564 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Florida
Vaccinated:2007-03-23
Onset:0000-00-00
Submitted:2007-04-10
Entered:2007-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dysfunctional uterine bleeding

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: None
Allergies:
Diagnostic Lab Data: Pending
CDC 'Split Type':

Write-up:Dysfunctional uterine bleeding, without prior history of said WT = 100 lb.


Changed on 9/14/2017

276564 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Florida
Vaccinated:2007-03-23
Onset:0000-00-00
Submitted:2007-04-10
Entered:2007-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dysfunctional uterine bleeding

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: None
Allergies:
Diagnostic Lab Data: Pending
CDC 'Split Type':

Write-up:Dysfunctional uterine bleeding, without prior history of said WT = 100 lb.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276564&WAYBACKHISTORY=ON


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