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This is VAERS ID 276910

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276910
Age:22.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-22
Onset:2007-01-23
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Nausea, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SEASONALE
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 22 year old female who on 22-JAN-2007 was vaccinated with 0.5mL IM, first dose, Gardasil (lot# 655165/1425F). Concomitant therapy included Seasonale. On 23-JAN-2007 the patient experienced"fever of 103F and nausea. The patient sought unspecified medical attention and did not require lab diagnostic studies to be performed. Subsequently, the patient recovered from fever of 103F and nausea. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 276910 Before After
Age:22.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-22
Onset:2007-01-23
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Nausea, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SEASONALE
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0703USA05095

Write-up:Information has been received from a registered nurse concerning a 22 year old female who on 22-JAN-2007 was vaccinated with 0.5mL IM, first dose, Gardasil (lot# 655165/1425F). Concomitant therapy included Seasonale. On 23-JAN-2007 the patient experienced"fever experienced fever of 103F and nausea. The patient sought unspecified medical attention and did not require lab diagnostic studies to be performed. Subsequently, the patient recovered from fever of 103F and nausea. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 276910 Before After
Age:22.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-22
Onset:2007-01-23
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Nausea, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SEASONALE
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None body tem, 01/22/07, 103F
CDC 'Split Type': WAES0703USA05095

Write-up:Information has been received from a registered nurse concerning a 22 year old female who on 22-JAN-2007 was vaccinated with 0.5mL IM, first dose, Gardasil (lot# 655165/1425F). Concomitant therapy included Seasonale. On 23-JAN-2007 the patient experienced fever of 103F and nausea. The patient sought unspecified medical attention and did not require lab diagnostic studies to be performed. Subsequently, the patient recovered from fever of 103F and nausea. nausea after the injection x 2 days. The patient also experienced nausea (was nauseated). The patient sought unspecified medical attention and did not require lab diagnositc studies to be performed. Subsquently, the patient recovered completely. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/13/2007. Additional attempts to contact the patient had been unsuccessful sin 27-Mar-2007 when she reported the reaction. At the time of this report, the patient had not returned for ther second GARDASIL. No product quality comlaint was involved. No further information is available.


Changed on 4/7/2010

VAERS ID: 276910 Before After
Age:22.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-22
Onset:2007-01-23
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 UN / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SEASONALE
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: body tem, 01/22/07, 103F
CDC 'Split Type': WAES0703USA05095

Write-up:Information has been received from a registered nurse concerning a 22 year old female who on 22-JAN-2007 was vaccinated with 0.5mL IM, first dose, Gardasil (lot# 655165/1425F). Concomitant therapy included Seasonale. On 23-JAN-2007 the patient experienced fever of 103F and nausea. The patient sought unspecified medical attention and did not require lab diagnostic studies to be performed. Subsequently, the patient recovered from fever of 103F and nausea after the injection x 2 days. The patient also experienced nausea (was nauseated). The patient sought unspecified medical attention and did not require lab diagnositc studies to be performed. Subsquently, the patient recovered completely. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/13/2007. Additional attempts to contact the patient had been unsuccessful sin 27-Mar-2007 when she reported the reaction. At the time of this report, the patient had not returned for ther second GARDASIL. No product quality comlaint was involved. No further information is available.


Changed on 6/14/2014

VAERS ID: 276910 Before After
Age:22.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-22
Onset:2007-01-23
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 UN / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SEASONALE
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: body tem, 01/22/07, 103F
CDC 'Split Type': WAES0703USA05095

Write-up:Information has been received from a registered nurse concerning a 22 year old female who on 22-JAN-2007 was vaccinated with 0.5mL IM, first dose, Gardasil (lot# 655165/1425F). Concomitant therapy included Seasonale. On 23-JAN-2007 the patient experienced fever of 103F and nausea. The patient sought unspecified medical attention and did not require lab diagnostic studies to be performed. Subsequently, the patient recovered from fever of 103F and nausea after the injection x 2 days. The patient also experienced nausea (was nauseated). The patient sought unspecified medical attention and did not require lab diagnositc studies to be performed. Subsquently, the patient recovered completely. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/13/2007. Additional attempts to contact the patient had been unsuccessful sin 27-Mar-2007 when she reported the reaction. At the time of this report, the patient had not returned for ther second GARDASIL. No product quality comlaint was involved. No further information is available.


Changed on 5/14/2017

VAERS ID: 276910 Before After
Age:22.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-22
Onset:2007-01-23
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 UN / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SEASONALE
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: body tem, 01/22/07, 103F
CDC 'Split Type': WAES0703USA05095

Write-up:Information has been received from a registered nurse concerning a 22 year old female who on 22-JAN-2007 was vaccinated with 0.5mL IM, first dose, Gardasil (lot# 655165/1425F). Concomitant therapy included Seasonale. On 23-JAN-2007 the patient experienced fever of 103F and nausea. The patient sought unspecified medical attention and did not require lab diagnostic studies to be performed. Subsequently, the patient recovered from fever of 103F and nausea after the injection x 2 days. The patient also experienced nausea (was nauseated). The patient sought unspecified medical attention and did not require lab diagnositc studies to be performed. Subsquently, the patient recovered completely. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/13/2007. Additional attempts to contact the patient had been unsuccessful sin 27-Mar-2007 when she reported the reaction. At the time of this report, the patient had not returned for ther second GARDASIL. No product quality comlaint was involved. No further information is available.


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