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This is VAERS ID 277537

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277537
VAERS Form:
Age:16.0
Gender:Female
Location:Virginia
Vaccinated:2007-04-11
Onset:0000-00-00
Submitted:2007-04-27
Entered:2007-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug exposure during pregnancy

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: Xanax, Lexapro, Lamictal, Prilosec, Depo shots
Current Illness: Sinusitis, no fever
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Beta HCG = 135, 364 on 4-25-07
CDC 'Split Type':

Write-up:Patient received Gardasil vaccine on 4-11-07. On 4-25-07, patient had + pregnancy test.


Changed on 9/14/2017

277537 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Virginia
Vaccinated:2007-04-11
Onset:0000-00-00
Submitted:2007-04-27
Entered:2007-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 1 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug exposure during pregnancy

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: Xanax, Lexapro, Lamictal, Prilosec, Depo shots
Current Illness: Sinusitis, no fever
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Beta HCG = 135, 364 on 4-25-07
CDC 'Split Type':

Write-up:Patient received Gardasil vaccine on 4-11-07. On 4-25-07, patient had + pregnancy test.


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