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This is VAERS ID 276907

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276907
VAERS Form:
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-27
Onset:2007-03-27
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal pain upper

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a consumer concerning her 14 year old female with penicillin allergy who on 27-MAR-2007 was vaccinated with 0.5 mL of Gardasil. On 27-MAR-2007 the patient experienced severe stomach pain. The patient''''s severe stomach pa"in persisted. Additional information has been requested.


Changed on 12/8/2009

276907 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-27
Onset:2007-03-27
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal pain upper

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0703USA05033

Write-up:Information has been received from a consumer concerning her 14 year old female with penicillin allergy who on 27-MAR-2007 was vaccinated with 0.5 mL of Gardasil. On 27-MAR-2007 the patient experienced severe stomach pain. The patient''''s patient''s severe stomach pa"in pain persisted. Additional information has been requested.


Changed on 9/14/2017

276907 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-27
Onset:2007-03-27
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA05033

Write-up:Information has been received from a consumer concerning her 14 year old female with penicillin allergy who on 27-MAR-2007 was vaccinated with 0.5 mL of Gardasil. On 27-MAR-2007 the patient experienced severe stomach pain. The patient''s severe stomach pain persisted. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276907&WAYBACKHISTORY=ON


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