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This is VAERS ID 276671

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276671
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Tuberculin test negative, False positive tuberculosis test

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: tuberculin skin test; positive tuberculin skin test; negative
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female who was vaccinated with a dose of Gardasil (lot# not reported). The patient was given the vaccine on the same day as a Tuberculosis test which was positive. Since the patient had an initia"l positive TB test, a second more through TB test was given in which blood was drawn and the results were negative. No other information was provided. No product quality complaint was involved. Additional information has been requested.


Changed on 12/8/2009

276671 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Tuberculin test negative, False positive tuberculosis test

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: tuberculin skin test; positive tuberculin skin test; negative
CDC 'Split Type': (blank) WAES0703USA02382

Write-up:Information has been received from a physician concerning a female who was vaccinated with a dose of Gardasil (lot# not reported). The patient was given the vaccine on the same day as a Tuberculosis test which was positive. Since the patient had an initia"l initial positive TB test, a second more through TB test was given in which blood was drawn and the results were negative. No other information was provided. No product quality complaint was involved. Additional information has been requested.


Changed on 3/2/2010

276671 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown Iowa
Vaccinated:0000-00-00
Onset:0000-00-00 2007-02-11
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN IJ

Administered by: Other Private      Purchased by: Other Private
Symptoms: Tuberculin test negative, False positive tuberculosis test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No 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: tuberculin skin test; positive tuberculin skin test; negative
CDC 'Split Type': WAES0703USA02382

Write-up:Information has been received from a physician concerning a female who was vaccinated with a dose of Gardasil (lot# not reported). The patient was given the vaccine on the same day as a Tuberculosis test which was positive. Since the patient had an initial positive TB test, a second more through TB test was given in which blood was drawn and the results were negative. No other information was provided. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report previously submitted on 4/13/2007. Information has been received from a physician concerning a female who was vaccinated with a dose of GARDASIL (lot# not reported) on 9-Feb-2007. The patient was given the vaccine on the same days as a Tuberculosis test (lot# C 2008AA) intradermal in the left arm which was positive. Since the patient had an initial positive (TB interferon). TB test (14mm), a second more thorough TB test was given in which blood was drawn and the results were negative. No other information was provided. No product quality complaint was involved. Additional information has been requested.


Changed on 4/7/2010

276671 Before After
VAERS Form:
Age:
Gender:Female
Location:Iowa
Vaccinated:0000-00-00
Onset:2007-02-11
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IJ

Administered by: Private      Purchased by: Private
Symptoms: Tuberculin test negative, Unevaluable event, False positive tuberculosis test

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: tuberculin skin test; positive tuberculin skin test; negative
CDC 'Split Type': WAES0703USA02382

Write-up:Information has been received from a physician concerning a female who was vaccinated with a dose of Gardasil (lot# not reported). The patient was given the vaccine on the same day as a Tuberculosis test which was positive. Since the patient had an initial positive TB test, a second more through TB test was given in which blood was drawn and the results were negative. No other information was provided. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report previously submitted on 4/13/2007. Information has been received from a physician concerning a female who was vaccinated with a dose of GARDASIL (lot# not reported) on 9-Feb-2007. The patient was given the vaccine on the same days as a Tuberculosis test (lot# C 2008AA) intradermal in the left arm which was positive. Since the patient had an initial positive (TB interferon). TB test (14mm), a second more thorough TB test was given in which blood was drawn and the results were negative. No other information was provided. No product quality complaint was involved. Additional information has been requested.


Changed on 6/14/2014

276671 Before After
VAERS Form:
Age:
Gender:Female
Location:Iowa
Vaccinated:0000-00-00
Onset:2007-02-11
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IJ

Administered by: Private      Purchased by: Private
Symptoms: Tuberculin test negative, Unevaluable event, False positive tuberculosis test

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: tuberculin skin test; positive tuberculin skin test; negative
CDC 'Split Type': WAES0703USA02382

Write-up:Information has been received from a physician concerning a female who was vaccinated with a dose of Gardasil (lot# not reported). The patient was given the vaccine on the same day as a Tuberculosis test which was positive. Since the patient had an initial positive TB test, a second more through TB test was given in which blood was drawn and the results were negative. No other information was provided. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report previously submitted on 4/13/2007. Information has been received from a physician concerning a female who was vaccinated with a dose of GARDASIL (lot# not reported) on 9-Feb-2007. The patient was given the vaccine on the same days as a Tuberculosis test (lot# C 2008AA) intradermal in the left arm which was positive. Since the patient had an initial positive (TB interferon). TB test (14mm), a second more thorough TB test was given in which blood was drawn and the results were negative. No other information was provided. No product quality complaint was involved. Additional information has been requested.


Changed on 5/14/2017

276671 Before After
VAERS Form:
Age:
Gender:Female
Location:Iowa
Vaccinated:0000-00-00
Onset:2007-02-11
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IJ

Administered by: Private      Purchased by: Private
Symptoms: Tuberculin test negative, Unevaluable event, False positive tuberculosis test

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: tuberculin skin test; positive tuberculin skin test; negative
CDC 'Split Type': WAES0703USA02382

Write-up:Information has been received from a physician concerning a female who was vaccinated with a dose of Gardasil (lot# not reported). The patient was given the vaccine on the same day as a Tuberculosis test which was positive. Since the patient had an initial positive TB test, a second more through TB test was given in which blood was drawn and the results were negative. No other information was provided. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report previously submitted on 4/13/2007. Information has been received from a physician concerning a female who was vaccinated with a dose of GARDASIL (lot# not reported) on 9-Feb-2007. The patient was given the vaccine on the same days as a Tuberculosis test (lot# C 2008AA) intradermal in the left arm which was positive. Since the patient had an initial positive (TB interferon). TB test (14mm), a second more thorough TB test was given in which blood was drawn and the results were negative. No other information was provided. No product quality complaint was involved. Additional information has been requested.


Changed on 9/14/2017

276671 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Iowa
Vaccinated:0000-00-00
Onset:2007-02-11
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / IJ

Administered by: Private      Purchased by: Private
Symptoms: Tuberculin test negative, Unevaluable event, False positive tuberculosis test

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: tuberculin skin test; positive tuberculin skin test; negative
CDC 'Split Type': WAES0703USA02382

Write-up:Information has been received from a physician concerning a female who was vaccinated with a dose of Gardasil (lot# not reported). The patient was given the vaccine on the same day as a Tuberculosis test which was positive. Since the patient had an initial positive TB test, a second more through TB test was given in which blood was drawn and the results were negative. No other information was provided. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report previously submitted on 4/13/2007. Information has been received from a physician concerning a female who was vaccinated with a dose of GARDASIL (lot# not reported) on 9-Feb-2007. The patient was given the vaccine on the same days as a Tuberculosis test (lot# C 2008AA) intradermal in the left arm which was positive. Since the patient had an initial positive (TB interferon). TB test (14mm), a second more thorough TB test was given in which blood was drawn and the results were negative. No other information was provided. No product quality complaint was involved. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276671&WAYBACKHISTORY=ON


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