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This is VAERS ID 276898

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276898
VAERS Form:
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-26
Onset:2007-03-26
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Mydriasis

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: NUVARING
Current Illness: Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a 21 year old female with a history of penicillin allergy who on 26-MAR-2007 was vaccinated IM with her second dose of Gardasil vaccine (yeast). Concomitant therapy included NUVARING. On 26-MAR-2007 the patient experienc"ed /"a dilated right pupil/" after receiving her second dosage. The patient used Visine to treat her eye. The patient''''s dilated right pupil persisted. The patient did not seek medical attention. Additional information has been requested.


Changed on 12/8/2009

276898 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-26
Onset:2007-03-26
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Mydriasis

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: NUVARING
Current Illness: Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA04907

Write-up:Information has been received from a 21 year old female with a history of penicillin allergy who on 26-MAR-2007 was vaccinated IM with her second dose of Gardasil vaccine (yeast). Concomitant therapy included NUVARING. On 26-MAR-2007 the patient experienc"ed /"a experienced "a dilated right pupil/" pupil" after receiving her second dosage. The patient used Visine to treat her eye. The patient''''s patient''s dilated right pupil persisted. The patient did not seek medical attention. Additional information has been requested.


Changed on 9/14/2017

276898 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-26
Onset:2007-03-26
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Mydriasis

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: NUVARING
Current Illness: Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA04907

Write-up:Information has been received from a 21 year old female with a history of penicillin allergy who on 26-MAR-2007 was vaccinated IM with her second dose of Gardasil vaccine (yeast). Concomitant therapy included NUVARING. On 26-MAR-2007 the patient experienced "a dilated right pupil" after receiving her second dosage. The patient used Visine to treat her eye. The patient''s dilated right pupil persisted. The patient did not seek medical attention. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276898&WAYBACKHISTORY=ON


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