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This is VAERS ID 276690

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276690
Age:17.0
Gender:Female
Location:Kentucky
Vaccinated:2007-03-14
Onset:2007-03-15
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal pain, Headache

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ADDERALL TABLETS
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 17 year old female with no pertinent medical history or drug reactions/allergies who on 14-MAR-2007 was vaccinated intramuscularly with the first dose of Gardasil (0.5 ml) (lot # 656049/01"87U). Concomitant therapy included Adderall tablets. On approximately 15-MAR-2007, the patient experienced headache and abdominal pain. Unspecified medical attention was sought, At the time of this report, the outcome of the events was unknown. Additional


Changed on 12/8/2009

VAERS ID: 276690 Before After
Age:17.0
Gender:Female
Location:Kentucky
Vaccinated:2007-03-14
Onset:2007-03-15
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal pain, Headache

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ADDERALL TABLETS
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0703USA03133

Write-up:Information has been received from a registered nurse concerning a 17 year old female with no pertinent medical history or drug reactions/allergies who on 14-MAR-2007 was vaccinated intramuscularly with the first dose of Gardasil (0.5 ml) (lot # 656049/01"87U). 656049/0187U). Concomitant therapy included Adderall tablets. On approximately 15-MAR-2007, the patient experienced headache and abdominal pain. Unspecified medical attention was sought, At the time of this report, the outcome of the events was unknown. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 276690 Before After
Age:17.0
Gender:Female
Location:Kentucky
Vaccinated:2007-03-14
Onset:2007-03-15 2007-03-14
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 - / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Abdominal pain, Headache

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No No
ER or Doctor Visit? Yes No
Hospitalized? No
Previous Vaccinations:
Other Medications: ADDERALL TABLETS
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03133

Write-up:Information has been received from a registered nurse concerning a 17 year old female with no pertinent medical history or drug reactions/allergies who on 14-MAR-2007 was vaccinated intramuscularly with the first dose of Gardasil (0.5 ml) (lot # 656049/0187U). Concomitant therapy included Adderall tablets. On approximately 15-MAR-2007, the patient experienced headache and abdominal pain. Unspecified medical attention was sought, At the time of this report, the outcome of the events was unknown. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Immediately after the vaccine was administered, the patient felt dizzy and three hours later, the patient experienced abdominal pain. The patient also experienced headache. The dizziness subsided after 30 minutes, and subsequently, the patient recovered from the abdominal pain. Additional information has been requested.


Changed on 4/7/2010

VAERS ID: 276690 Before After
Age:17.0
Gender:Female
Location:Kentucky
Vaccinated:2007-03-14
Onset:2007-03-14
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain, Dizziness, Headache

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ADDERALL TABLETS
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03133

Write-up:Information has been received from a registered nurse concerning a 17 year old female with no pertinent medical history or drug reactions/allergies who on 14-MAR-2007 was vaccinated intramuscularly with the first dose of Gardasil (0.5 ml) (lot # 656049/0187U). Concomitant therapy included Adderall tablets. On approximately 15-MAR-2007, the patient experienced headache and abdominal pain. Unspecified medical attention was sought, At the time of this report, the outcome of the events was unknown. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Immediately after the vaccine was administered, the patient felt dizzy and three hours later, the patient experienced abdominal pain. The patient also experienced headache. The dizziness subsided after 30 minutes, and subsequently, the patient recovered from the abdominal pain. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 276690 Before After
Age:17.0
Gender:Female
Location:Kentucky
Vaccinated:2007-03-14
Onset:2007-03-14
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain, Dizziness, Headache

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ADDERALL TABLETS
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03133

Write-up:Information has been received from a registered nurse concerning a 17 year old female with no pertinent medical history or drug reactions/allergies who on 14-MAR-2007 was vaccinated intramuscularly with the first dose of Gardasil (0.5 ml) (lot # 656049/0187U). Concomitant therapy included Adderall tablets. On approximately 15-MAR-2007, the patient experienced headache and abdominal pain. Unspecified medical attention was sought, At the time of this report, the outcome of the events was unknown. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Immediately after the vaccine was administered, the patient felt dizzy and three hours later, the patient experienced abdominal pain. The patient also experienced headache. The dizziness subsided after 30 minutes, and subsequently, the patient recovered from the abdominal pain. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 276690 Before After
Age:17.0
Gender:Female
Location:Kentucky
Vaccinated:2007-03-14
Onset:2007-03-14
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain, Dizziness, Headache

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ADDERALL TABLETS
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03133

Write-up:Information has been received from a registered nurse concerning a 17 year old female with no pertinent medical history or drug reactions/allergies who on 14-MAR-2007 was vaccinated intramuscularly with the first dose of Gardasil (0.5 ml) (lot # 656049/0187U). Concomitant therapy included Adderall tablets. On approximately 15-MAR-2007, the patient experienced headache and abdominal pain. Unspecified medical attention was sought, At the time of this report, the outcome of the events was unknown. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Immediately after the vaccine was administered, the patient felt dizzy and three hours later, the patient experienced abdominal pain. The patient also experienced headache. The dizziness subsided after 30 minutes, and subsequently, the patient recovered from the abdominal pain. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276690&WAYBACKHISTORY=ON


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