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This is VAERS ID 276828

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276828
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-12
Onset:2007-03-14
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Chest discomfort, Chest X-ray, Computerised tomogram, Electrocardiogram, Blood 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: (therapy unspecified)
Current Illness: Contraception; Sulfonamide allergy; Drug hypersensitivity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: chest X-ray 03/??/07, computed axial 03/??/07, diagnostic laboratory 03/??/07, electrocardiogram 03/??/07
CDC 'Split Type':

Write-up:Information has been received from a consumer concerning her daughter, a 19 year old female with a sulfonamide allergy and drug hypersensitivity to benzyl peroxide, who was vaccinated with the first dose of Gardasil (date not specified), and on 12-MAR-200"7 was vaccinated with the second dose of Gardasil. Concomitant therapy included birth control (unspecified). The consumer reported that after the first vaccination, her daughter''''s /"arm was sore./" On 14-MAR-2007, two days after the second vaccination, t


Changed on 12/8/2009

276828 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-12
Onset:2007-03-14
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Chest discomfort, Chest X-ray, Computerised tomogram, Electrocardiogram, Heart rate increased, Lethargy, Pain in extremity, Pyrexia, Blood 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: (therapy unspecified)
Current Illness: Contraception; Sulfonamide allergy; Drug hypersensitivity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: chest X-ray 03/??/07, computed axial 03/??/07, diagnostic laboratory 03/??/07, electrocardiogram 03/??/07
CDC 'Split Type': (blank) WAES0703USA03774

Write-up:Information has been received from a consumer concerning her daughter, a 19 year old female with a sulfonamide allergy and drug hypersensitivity to benzyl peroxide, who was vaccinated with the first dose of Gardasil (date not specified), and on 12-MAR-200"7 12-MAR-2007 was vaccinated with the second dose of Gardasil. Concomitant therapy included birth control (unspecified). The consumer reported that after the first vaccination, her daughter''''s /"arm daughter''s "arm was sore./" sore." On 14-MAR-2007, two days after the second vaccination, t the patient developed a fever (unspecified), chest pressure, elevated heart rate (unspecified) and lethargy. The consumer reported her daughter had the following diagnostics performed: "blood test, electrocardiogram (EKG), computed tomography scan (CT), and a chest x-ray, however the results were not reported. It was unknown if the patient''s arm soreness resolved. The patient''s fever, chest pressure, elevated heart rate and lethargy persisted. Additional information has been requested.


Changed on 9/14/2017

276828 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-12
Onset:2007-03-14
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Chest discomfort, Chest X-ray, Computerised tomogram, Electrocardiogram, Heart rate increased, Lethargy, Pain in extremity, Pyrexia, Blood 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: (therapy unspecified)
Current Illness: Contraception; Sulfonamide allergy; Drug hypersensitivity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: chest X-ray 03/??/07, computed axial 03/??/07, diagnostic laboratory 03/??/07, electrocardiogram 03/??/07
CDC 'Split Type': WAES0703USA03774

Write-up:Information has been received from a consumer concerning her daughter, a 19 year old female with a sulfonamide allergy and drug hypersensitivity to benzyl peroxide, who was vaccinated with the first dose of Gardasil (date not specified), and on 12-MAR-2007 was vaccinated with the second dose of Gardasil. Concomitant therapy included birth control (unspecified). The consumer reported that after the first vaccination, her daughter''s "arm was sore." On 14-MAR-2007, two days after the second vaccination, the patient developed a fever (unspecified), chest pressure, elevated heart rate (unspecified) and lethargy. The consumer reported her daughter had the following diagnostics performed: "blood test, electrocardiogram (EKG), computed tomography scan (CT), and a chest x-ray, however the results were not reported. It was unknown if the patient''s arm soreness resolved. The patient''s fever, chest pressure, elevated heart rate and lethargy persisted. Additional information has been requested.


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