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This is VAERS ID 276867

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276867
VAERS Form:
Age:17.0
Gender:Female
Location:New Jersey
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. 0188U / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Body temperature increased, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: FLONASE; PONSTEL
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Body temp 03/13/07 104F
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 12-MAR-2007 was vaccinated with Gardasil (yeast) (lot # 657006/0188U). Concomitant therapy included"FLONASE and PONSTEL. On 13-MAR-2007 the patient experienced a fever of 104F. Unspecified medical attention was sought. The patient missed school and was treated with acetaminophen (TYLENOL). Subsequently, the patient recovered from the fever. Additional i


Changed on 12/8/2009

276867 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:New Jersey
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. 0188U / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Body temperature increased, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: FLONASE; PONSTEL
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Body temp 03/13/07 104F
CDC 'Split Type': (blank) WAES0703USA04190

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 12-MAR-2007 was vaccinated with Gardasil (yeast) (lot # 657006/0188U). Concomitant therapy included"FLONASE included FLONASE and PONSTEL. On 13-MAR-2007 the patient experienced a fever of 104F. Unspecified medical attention was sought. The patient missed school and was treated with acetaminophen (TYLENOL). Subsequently, the patient recovered from the fever. Additional i information has been requested.


Changed on 9/14/2017

276867 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:New Jersey
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. 0188U / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Body temperature increased, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: FLONASE; PONSTEL
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Body temp 03/13/07 104F
CDC 'Split Type': WAES0703USA04190

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 12-MAR-2007 was vaccinated with Gardasil (yeast) (lot # 657006/0188U). Concomitant therapy included FLONASE and PONSTEL. On 13-MAR-2007 the patient experienced a fever of 104F. Unspecified medical attention was sought. The patient missed school and was treated with acetaminophen (TYLENOL). Subsequently, the patient recovered from the fever. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276867&WAYBACKHISTORY=ON


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