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This is VAERS ID 276913

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276913
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-19
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Information has been received from a physician concerning a 19 year old female who on 19-Jan-2007 was vaccinated with the first dose of Gardasil (Lot # not provided). On 26-JAN-2007 it was reported to the office, that on an unspecified date, post vaccinat"ion, the patient developed nausea and vomiting. Unspecified medical attention was sought. On an unspecified date, the patient recovered from the nausea and vomiting. The physician does not know if the patient will receive their second dose of the vaccine.


Changed on 12/8/2009

VAERS ID: 276913 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-19
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0703USA05185

Write-up: Information has been received from a physician concerning a 19 year old female who on 19-Jan-2007 was vaccinated with the first dose of Gardasil (Lot # not provided). On 26-JAN-2007 it was reported to the office, that on an unspecified date, post vaccinat"ion, vaccination, the patient developed nausea and vomiting. Unspecified medical attention was sought. On an unspecified date, the patient recovered from the nausea and vomiting. The physician does not know if the patient will receive their second dose of the vaccine. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 276913 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-19
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0703USA05185

Write-up: Information has been received from a physician concerning a 19 year old female who on 19-Jan-2007 was vaccinated with the first dose of Gardasil (Lot # not provided). On 26-JAN-2007 it was reported to the office, that on an unspecified date, post vaccination, the patient developed nausea and vomiting. Unspecified medical attention was sought. On an unspecified date, the patient recovered from the nausea and vomiting. The physician does not know if the patient will receive their second dose of the vaccine. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 276913 Before After
VAERS Form:1
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-19
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0703USA05185

Write-up: Information has been received from a physician concerning a 19 year old female who on 19-Jan-2007 was vaccinated with the first dose of Gardasil (Lot # not provided). On 26-JAN-2007 it was reported to the office, that on an unspecified date, post vaccination, the patient developed nausea and vomiting. Unspecified medical attention was sought. On an unspecified date, the patient recovered from the nausea and vomiting. The physician does not know if the patient will receive their second dose of the vaccine. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 276913 Before After
VAERS Form:1
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-19
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0703USA05185

Write-up: Information has been received from a physician concerning a 19 year old female who on 19-Jan-2007 was vaccinated with the first dose of Gardasil (Lot # not provided). On 26-JAN-2007 it was reported to the office, that on an unspecified date, post vaccination, the patient developed nausea and vomiting. Unspecified medical attention was sought. On an unspecified date, the patient recovered from the nausea and vomiting. The physician does not know if the patient will receive their second dose of the vaccine. Additional information has been requested.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276913&WAYBACKHISTORY=ON


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