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This is VAERS ID 277623

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277623
VAERS Form:
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-04-27
Onset:2007-04-28
Submitted:0000-00-00
Entered:2007-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03884 / 2 LA / -

Administered by: Public      Purchased by: Unknown
Symptoms: Chills, Dizziness, Headache, Influenza like illness, Injection site pain

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:
Current Illness: None
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:In addition to mild tenderness at injection site, flu like symptoms; headache, light headed, chills. No SOB. Milder symptoms with prior Gardasil (Both) symptomatic treatment and reassurance.


Changed on 12/8/2009

277623 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-04-27
Onset:2007-04-28
Submitted:0000-00-00
Entered:2007-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03884 / 2 LA / -

Administered by: Public      Purchased by: Unknown Other
Symptoms: Chills, Dizziness, Headache, Influenza like illness, Injection site pain, Vaccine positive rechallenge

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:
Current Illness: None
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:In addition to mild tenderness at injection site, flu like symptoms; headache, light headed, chills. No SOB. Milder Miler symptoms with prior Gardasil (Both) (Both symptomatic treatment and reassurance.


Changed on 5/14/2017

277623 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-04-27
Onset:2007-04-28
Submitted:0000-00-00
Entered:2007-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03884 / 2 LA / -

Administered by: Public      Purchased by: Other
Symptoms: Chills, Dizziness, Headache, Influenza like illness, Injection site pain, Vaccine positive rechallenge

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:
Current Illness: None
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:In addition to mild tenderness at injection site, flu like symptoms; headache, light headed, chills. No SOB. Miler Milder symptoms with prior Gardasil (Both (Both) symptomatic treatment and reassurance.


Changed on 9/14/2017

277623 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-04-27
Onset:2007-04-28
Submitted:0000-00-00
Entered:2007-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03884 / 2 3 LA / -

Administered by: Public      Purchased by: Other
Symptoms: Chills, Dizziness, Headache, Influenza like illness, Injection site pain, Vaccine positive rechallenge

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:
Current Illness: None
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:In addition to mild tenderness at injection site, flu like symptoms; headache, light headed, chills. No SOB. Milder symptoms with prior Gardasil (Both) symptomatic treatment and reassurance.


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