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This is VAERS ID 276859

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276859
VAERS Form:
Age:17.0
Gender:Female
Location:Pennsylvania
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. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Chest X-ray, Dizziness, Dyspnoea, Bronchial disorder

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: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Chest x-ray 12/06; diagnostic laboratory 12/06
CDC 'Split Type':

Write-up: Information has been received from a consumer (an office manager), via a company representative, concerning the consumer''''s 17 year old daughter, who in December 2006, was vaccinated with the first dose, 0.5ml, of Gardasil vaccine (yeast), and vaccinated"with the second dose of Gardasil vaccine (yeast) (date not specified). In December 2006, three days after the first vaccination, the consumer reported her daughter experienced /"dizziness, lightheadedness, vertigo, difficulty breathing, respiratory distre


Changed on 12/8/2009

VAERS ID: 276859 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Pennsylvania
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. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Chest X-ray, Dizziness, Dyspnoea, Headache, Nausea, Respiratory distress, Vertigo, Laboratory test, Inflammation, Bronchial disorder

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: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Chest x-ray 12/06; diagnostic laboratory 12/06
CDC 'Split Type': (blank) WAES0703USA04151

Write-up: Information has been received from a consumer (an office manager), via a company representative, concerning the consumer''''s consumer''s 17 year old daughter, who in December 2006, was vaccinated with the first dose, 0.5ml, of Gardasil vaccine (yeast), and vaccinated"with vaccinated with the second dose of Gardasil vaccine (yeast) (date not specified). In December 2006, three days after the first vaccination, the consumer reported her daughter experienced /"dizziness, "dizziness, lightheadedness, vertigo, difficulty breathing, respiratory distre distress and bronchial inflammation." The consumer reported her daughter was taken to the ER, but she was not admitted. She added that a chest x-ray and "bloodwork" were performed (results not provided). In addition, she added that after her daughter experienced nausea, headache, and dizziness after the second vaccination was administered (dates not specified). At the time of the report, it was unknown if the patient had recovered. Additional information is not expected.


Changed on 9/14/2017

VAERS ID: 276859 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Pennsylvania
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. - / 0 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Chest X-ray, Dizziness, Dyspnoea, Headache, Nausea, Respiratory distress, Vertigo, Laboratory test, Inflammation, Bronchial disorder

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: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Chest x-ray 12/06; diagnostic laboratory 12/06
CDC 'Split Type': WAES0703USA04151

Write-up: Information has been received from a consumer (an office manager), via a company representative, concerning the consumer''s 17 year old daughter, who in December 2006, was vaccinated with the first dose, 0.5ml, of Gardasil vaccine (yeast), and vaccinated with the second dose of Gardasil vaccine (yeast) (date not specified). In December 2006, three days after the first vaccination, the consumer reported her daughter experienced "dizziness, lightheadedness, vertigo, difficulty breathing, respiratory distress and bronchial inflammation." The consumer reported her daughter was taken to the ER, but she was not admitted. She added that a chest x-ray and "bloodwork" were performed (results not provided). In addition, she added that after her daughter experienced nausea, headache, and dizziness after the second vaccination was administered (dates not specified). At the time of the report, it was unknown if the patient had recovered. Additional information is not expected.


Changed on 2/14/2018

VAERS ID: 276859 Before After
VAERS Form:1
Age:17.0
Gender:Female
Location:Pennsylvania
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. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Chest X-ray, Dizziness, Dyspnoea, Headache, Nausea, Respiratory distress, Vertigo, Laboratory test, Inflammation, Bronchial disorder

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: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Chest x-ray 12/06; diagnostic laboratory 12/06
CDC 'Split Type': WAES0703USA04151

Write-up: Information has been received from a consumer (an office manager), via a company representative, concerning the consumer''s 17 year old daughter, who in December 2006, was vaccinated with the first dose, 0.5ml, of Gardasil vaccine (yeast), and vaccinated with the second dose of Gardasil vaccine (yeast) (date not specified). In December 2006, three days after the first vaccination, the consumer reported her daughter experienced "dizziness, lightheadedness, vertigo, difficulty breathing, respiratory distress and bronchial inflammation." The consumer reported her daughter was taken to the ER, but she was not admitted. She added that a chest x-ray and "bloodwork" were performed (results not provided). In addition, she added that after her daughter experienced nausea, headache, and dizziness after the second vaccination was administered (dates not specified). At the time of the report, it was unknown if the patient had recovered. Additional information is not expected.


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