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This is VAERS ID 276870

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276870
Age:17.0
Gender:Female
Location:New Mexico
Vaccinated:2007-02-26
Onset:2007-02-27
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Arthralgia, Fatigue

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Seasonal allergy; Glucose intolerance, Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a certified medical assistant concerning a 17 year old female with seasonal allergies, glucose intolerance and penicillin allergy who on 06-DEC-2006 was vaccinated IM 0.5 mL, first dose , with Gardasil (lot#653978/0955F)". The patient received her second vaccination IM 0.5mL of Gardasil (lot#653978/0955F) on 26-FEB-2007. There was no concomitant medication. On 27-FEB-2007 the patient experienced fatigue and widespread joint pain. No adverse event was reported on the first


Changed on 12/8/2009

VAERS ID: 276870 Before After
Age:17.0
Gender:Female
Location:New Mexico
Vaccinated:2007-02-26
Onset:2007-02-27
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Arthralgia, Fatigue

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Seasonal allergy; Glucose intolerance, Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0703USA04230

Write-up:Information has been received from a certified medical assistant concerning a 17 year old female with seasonal allergies, glucose intolerance and penicillin allergy who on 06-DEC-2006 was vaccinated IM 0.5 mL, first dose , with Gardasil (lot#653978/0955F)". (lot#653978/0955F). The patient received her second vaccination IM 0.5mL of Gardasil (lot#653978/0955F) on 26-FEB-2007. There was no concomitant medication. On 27-FEB-2007 the patient experienced fatigue and widespread joint pain. No adverse event was reported on the first vaccination. The patient sought unspecified medical attention. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276870&WAYBACKHISTORY=ON


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