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This is VAERS ID 276676

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276676
VAERS Form:
Age:19.0
Gender:Female
Location:Florida
Vaccinated:2007-03-12
Onset:2007-03-12
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Nausea, Vomiting

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: Ortho-Tri-Cyclen
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 19 year old female, with no pertinent medical history or drug reactions/allergies who on 12-MAR-207 was vaccinated with Gardasil (lot# 654741/0013U). Concomitant therapy included Ortho-Tri"-Cyclen. Two hours later, on 12-MAR-2007, the patient experienced nausea and vomiting. The patient self treated with Compazine. The vomiting resolved but the nausea continued. No lab testing was performed. Additional information has been requested. The re


Changed on 12/8/2009

276676 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Florida
Vaccinated:2007-03-12
Onset:2007-03-12
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Nausea, Vomiting

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: Ortho-Tri-Cyclen
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0703USA02815

Write-up:Information has been received from a registered nurse concerning a 19 year old female, with no pertinent medical history or drug reactions/allergies who on 12-MAR-207 was vaccinated with Gardasil (lot# 654741/0013U). Concomitant therapy included Ortho-Tri"-Cyclen. Ortho-Tri-Cyclen. Two hours later, on 12-MAR-2007, the patient experienced nausea and vomiting. The patient self treated with Compazine. The vomiting resolved but the nausea continued. No lab testing was performed. Additional information has been requested. The re registered nurse reported that 3 other patients'' experiences after Gardasil administration (WAES 0703USA02859, WAES 0703USA02797, WAES703USA02840).


Changed on 3/2/2010

276676 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Florida
Vaccinated:2007-03-12
Onset:2007-03-12
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / - 1 UN / UN IM

Administered by: Unknown Private      Purchased by: Unknown Other
Symptoms: Nausea, Vomiting

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 No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho-Tri-Cyclen
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA02815

Write-up:Information has been received from a registered nurse concerning a 19 year old female, with no pertinent medical history or drug reactions/allergies who on 12-MAR-207 was vaccinated with Gardasil (lot# 654741/0013U). Concomitant therapy included Ortho-Tri-Cyclen. Two hours later, on 12-MAR-2007, the patient experienced nausea and vomiting. The patient self treated with Compazine. The vomiting resolved but as of 14-Mar-2007 the nausea continued. No lab testing was performed. Additional information has been requested. The registered nurse reported that 3 other patients'' experiences after Gardasil administration (WAES 0703USA02859, WAES 0703USA02797, WAES703USA02840). Initial and follow up information has been received. There was no illness at the time of vaccination. The records of testing prior to release of the lot in question, have been rechecked and found to be satisfactory. the lot complies with the standards of the Center for Biologics Evaluation & Research and was released.


Changed on 6/14/2014

276676 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Florida
Vaccinated:2007-03-12
Onset:2007-03-12
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Nausea, 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:
Other Medications: Ortho-Tri-Cyclen
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA02815

Write-up:Information has been received from a registered nurse concerning a 19 year old female, with no pertinent medical history or drug reactions/allergies who on 12-MAR-207 was vaccinated with Gardasil (lot# 654741/0013U). Concomitant therapy included Ortho-Tri-Cyclen. Two hours later, on 12-MAR-2007, the patient experienced nausea and vomiting. The patient self treated with Compazine. The vomiting resolved but as of 14-Mar-2007 the nausea continued. No lab testing was performed. Additional information has been requested. The registered nurse reported that 3 other patients'' experiences after Gardasil administration (WAES 0703USA02859, WAES 0703USA02797, WAES703USA02840). Initial and follow up information has been received. There was no illness at the time of vaccination. The records of testing prior to release of the lot in question, have been rechecked and found to be satisfactory. the lot complies with the standards of the Center for Biologics Evaluation & Research and was released.


Changed on 5/14/2017

276676 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Florida
Vaccinated:2007-03-12
Onset:2007-03-12
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Nausea, 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:
Other Medications: Ortho-Tri-Cyclen
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA02815

Write-up:Information has been received from a registered nurse concerning a 19 year old female, with no pertinent medical history or drug reactions/allergies who on 12-MAR-207 was vaccinated with Gardasil (lot# 654741/0013U). Concomitant therapy included Ortho-Tri-Cyclen. Two hours later, on 12-MAR-2007, the patient experienced nausea and vomiting. The patient self treated with Compazine. The vomiting resolved but as of 14-Mar-2007 the nausea continued. No lab testing was performed. Additional information has been requested. The registered nurse reported that 3 other patients'' experiences after Gardasil administration (WAES 0703USA02859, WAES 0703USA02797, WAES703USA02840). Initial and follow up information has been received. There was no illness at the time of vaccination. The records of testing prior to release of the lot in question, have been rechecked and found to be satisfactory. the lot complies with the standards of the Center for Biologics Evaluation & Research and was released.


Changed on 9/14/2017

276676 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Florida
Vaccinated:2007-03-12
Onset:2007-03-12
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / 1 2 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Nausea, 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:
Other Medications: Ortho-Tri-Cyclen
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA02815

Write-up:Information has been received from a registered nurse concerning a 19 year old female, with no pertinent medical history or drug reactions/allergies who on 12-MAR-207 was vaccinated with Gardasil (lot# 654741/0013U). Concomitant therapy included Ortho-Tri-Cyclen. Two hours later, on 12-MAR-2007, the patient experienced nausea and vomiting. The patient self treated with Compazine. The vomiting resolved but as of 14-Mar-2007 the nausea continued. No lab testing was performed. Additional information has been requested. The registered nurse reported that 3 other patients'' experiences after Gardasil administration (WAES 0703USA02859, WAES 0703USA02797, WAES703USA02840). Initial and follow up information has been received. There was no illness at the time of vaccination. The records of testing prior to release of the lot in question, have been rechecked and found to be satisfactory. the lot complies with the standards of the Center for Biologics Evaluation & Research and was released.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276676&WAYBACKHISTORY=ON


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