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This is VAERS ID 278996

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278996
VAERS Form:
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-03-13
Onset:2007-03-14
Submitted:2007-05-18
Entered:2007-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain upper

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:
Current Illness:
Preexisting Conditions: Mild asthma, sinus allergies (Environmental)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient stated she had stomach pain x 3 weeks after 1st Gardasil Imm.


Changed on 12/8/2009

278996 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-03-13
Onset:2007-03-14
Submitted:2007-05-18
Entered:2007-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 RA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Abdominal pain upper

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:
Current Illness:
Preexisting Conditions: Mild asthma, sinus allergies (Environmental)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient stated she had stomach pain x 3 weeks after 1st Gardasil Imm.


Changed on 9/14/2017

278996 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-03-13
Onset:2007-03-14
Submitted:2007-05-18
Entered:2007-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper

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:
Current Illness:
Preexisting Conditions: Mild asthma, sinus allergies (Environmental)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient stated she had stomach pain x 3 weeks after 1st Gardasil Imm.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278996&WAYBACKHISTORY=ON


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