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This is VAERS ID 276821

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276821
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-12
Onset:2007-03-13
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Diarrhoea, Fatigue, Rash, Vomiting

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a health professional concerning a 14 year old female who on 12-MAR-2007 was vaccinated with Gardasil (Lot 653736/0014U). On 13-MAR-2007 the patient experienced a rash on her chest, back and face. On 14-MAR-2007, the pat"ient experienced fatigue. On that same day, the patient went to see her pediatrician who placed her on therapy with hydrocortisone (manufacturer unknown) and BENADRYL. The patient did not improve and hydrocortisone and felt to be ineffective (WAES#0703USA


Changed on 12/8/2009

VAERS ID: 276821 Before After
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-12
Onset:2007-03-13
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Diarrhoea, Fatigue, Rash, Vomiting

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA03712

Write-up:Information has been received from a health professional concerning a 14 year old female who on 12-MAR-2007 was vaccinated with Gardasil (Lot 653736/0014U). On 13-MAR-2007 the patient experienced a rash on her chest, back and face. On 14-MAR-2007, the pat"ient patient experienced fatigue. On that same day, the patient went to see her pediatrician who placed her on therapy with hydrocortisone (manufacturer unknown) and BENADRYL. The patient did not improve and hydrocortisone and felt to be ineffective (WAES#0703USA (WAES#0703USA04721). On 16-MAR-2007, the patient experienced vomiting and diarrhea. The patient''s rash, fatigue, vomiting and diarrhea persisted. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276821&WAYBACKHISTORY=ON


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