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This is VAERS ID 276929

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276929
VAERS Form:
Age:
Gender:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Dysplasia

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

Write-up:Information has been received from a physician concerning a female who was vaccinated with Gardasil vaccine (yeast) (dose and date not provided) as part of a clinical trial she was involved with. Subsequently /"the physician reported that the patient had"received the Gardasil vaccine (yeast) in the trial and was experiencing /"dysplasia syn 2 due to one of the strains of the HPV virus, either 16 or 18./" No lot number was provided. The patient sought unspecified medical attention. Additional information h


Changed on 12/8/2009

276929 Before After
VAERS Form:
Age:
Gender:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dysplasia

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA05419

Write-up:Information has been received from a physician concerning a female who was vaccinated with Gardasil vaccine (yeast) (dose and date not provided) as part of a clinical trial she was involved with. Subsequently /"the "the physician reported that the patient had"received had received the Gardasil vaccine (yeast) in the trial and was experiencing /"dysplasia "dysplasia syn 2 due to one of the strains of the HPV virus, either 16 or 18./" 18." No lot number was provided. The patient sought unspecified medical attention. Additional information h has been requested.


Changed on 9/14/2017

276929 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dysplasia

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA05419

Write-up:Information has been received from a physician concerning a female who was vaccinated with Gardasil vaccine (yeast) (dose and date not provided) as part of a clinical trial she was involved with. Subsequently "the physician reported that the patient had received the Gardasil vaccine (yeast) in the trial and was experiencing "dysplasia syn 2 due to one of the strains of the HPV virus, either 16 or 18." No lot number was provided. The patient sought unspecified medical attention. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276929&WAYBACKHISTORY=ON


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