National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 276675

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276675
VAERS Form:
Age:22.0
Gender:Female
Location:New York
Vaccinated:2006-12-01
Onset:2006-12-01
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: Influenza like illness, Injection site pain, Balance disorder

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 22 year old female who in October 2006, was vaccinated with the first dose of Gardasil. There was no concomitant medication. In December 2006, the patient was vaccinated with the second dose of G"ardasil. The patient experienced injection site pain. Five days later, she experienced flu like symptoms and unsteadiness. Subsequently, the patient recovered from injection site pain. The flu like symptoms resolved after 7 days. The patient''''s unsteadine


Changed on 12/8/2009

276675 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:New York
Vaccinated:2006-12-01
Onset:2006-12-01
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: Influenza like illness, Injection site pain, Balance disorder

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0703USA02806

Write-up:Information has been received from a physician concerning a 22 year old female who in October 2006, was vaccinated with the first dose of Gardasil. There was no concomitant medication. In December 2006, the patient was vaccinated with the second dose of G"ardasil. Gardasil. The patient experienced injection site pain. Five days later, she experienced flu like symptoms and unsteadiness. Subsequently, the patient recovered from injection site pain. The flu like symptoms resolved after 7 days. The patient''''s unsteadine patient''s unsteadiness lasted for 14 days. No lab testing was performed. Additional information has been requested.


Changed on 9/14/2017

276675 Before After
VAERS Form:(blank) 1
Age:22.0
Gender:Female
Location:New York
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Injection site pain, Balance disorder

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA02806

Write-up:Information has been received from a physician concerning a 22 year old female who in October 2006, was vaccinated with the first dose of Gardasil. There was no concomitant medication. In December 2006, the patient was vaccinated with the second dose of Gardasil. The patient experienced injection site pain. Five days later, she experienced flu like symptoms and unsteadiness. Subsequently, the patient recovered from injection site pain. The flu like symptoms resolved after 7 days. The patient''s unsteadiness lasted for 14 days. No lab testing was performed. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276675&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166