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This is VAERS ID 277402

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 277402
VAERS Form:
Age:21.0
Gender:Female
Location:Alabama
Vaccinated:2007-04-10
Onset:2007-04-10
Submitted:2007-04-25
Entered:2007-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Diarrhoea, Dry mouth, Dysphagia, Dyspnoea, Headache

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
CDC 'Split Type':

Write-up: Information has been received from a physician concerning a 21 year old female who on approximately 10-APR-2007 was vaccinated with a first dose of Gardasil. On approximately 10-APR-2007 the patient experienced dry mouth, tightness in her throat, difficul"ty swallowing, shortness of breath, diarrhea and headache. The patient was treated with dexamethasone injection and Benadryl injection. Subsequently, the patient recovered. There were no laboratory or diagnostic tests performed. The reporting physician co


Changed on 12/8/2009

VAERS ID: 277402 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Alabama
Vaccinated:2007-04-10
Onset:2007-04-10
Submitted:2007-04-25
Entered:2007-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Diarrhoea, Dry mouth, Dysphagia, Dyspnoea, Headache, Throat tightness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
CDC 'Split Type': (blank) WAES0704USA03424

Write-up: Information has been received from a physician concerning a 21 year old female who on approximately 10-APR-2007 was vaccinated with a first dose of Gardasil. On approximately 10-APR-2007 the patient experienced dry mouth, tightness in her throat, difficul"ty difficulty swallowing, shortness of breath, diarrhea and headache. The patient was treated with dexamethasone injection and Benadryl injection. Subsequently, the patient recovered. There were no laboratory or diagnostic tests performed. The reporting physician co considered dry mouth, tightness in her throat, difficulty swallowing, shortness of breath, diarrhea and headache to be other important medical events. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 277402 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:Alabama
Vaccinated:2007-04-10
Onset:2007-04-10
Submitted:2007-04-25
Entered:2007-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / -

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Dry mouth, Dysphagia, Dyspnoea, Headache, Throat tightness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
CDC 'Split Type': WAES0704USA03424

Write-up: Information has been received from a physician concerning a 21 year old female who on approximately 10-APR-2007 was vaccinated with a first dose of Gardasil. On approximately 10-APR-2007 the patient experienced dry mouth, tightness in her throat, difficulty swallowing, shortness of breath, diarrhea and headache. The patient was treated with dexamethasone injection and Benadryl injection. Subsequently, the patient recovered. There were no laboratory or diagnostic tests performed. The reporting physician considered dry mouth, tightness in her throat, difficulty swallowing, shortness of breath, diarrhea and headache to be other important medical events. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 277402 Before After
VAERS Form:1
Age:21.0
Gender:Female
Location:Alabama
Vaccinated:2007-04-10
Onset:2007-04-10
Submitted:2007-04-25
Entered:2007-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / -

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Dry mouth, Dysphagia, Dyspnoea, Headache, Throat tightness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
CDC 'Split Type': WAES0704USA03424

Write-up: Information has been received from a physician concerning a 21 year old female who on approximately 10-APR-2007 was vaccinated with a first dose of Gardasil. On approximately 10-APR-2007 the patient experienced dry mouth, tightness in her throat, difficulty swallowing, shortness of breath, diarrhea and headache. The patient was treated with dexamethasone injection and Benadryl injection. Subsequently, the patient recovered. There were no laboratory or diagnostic tests performed. The reporting physician considered dry mouth, tightness in her throat, difficulty swallowing, shortness of breath, diarrhea and headache to be other important medical events. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277402&WAYBACKHISTORY=ON


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