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This is VAERS ID 279045

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279045
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Hot flush

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

Write-up:Information has been received from a nurse practitioner concerning a teenage female (age not reported) who on unspecified dates was vaccinated with the first and second doses of Gardasil. Concomitant medication was not reported. Subsequently on an unspeci"fied dates, the patient developed hot flashes after her first and second doses of Gardasil. The onset of the hot flashes began within 24 hours post vaccination and the hot flashes lasted for a couple of days. The patient sought unspecified medical attenti


Changed on 12/8/2009

279045 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Hot flush

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0704USA00422

Write-up:Information has been received from a nurse practitioner concerning a teenage female (age not reported) who on unspecified dates was vaccinated with the first and second doses of Gardasil. Concomitant medication was not reported. Subsequently on an unspeci"fied unspecified dates, the patient developed hot flashes after her first and second doses of Gardasil. The onset of the hot flashes began within 24 hours post vaccination and the hot flashes lasted for a couple of days. The patient sought unspecified medical attenti attention. The outcome and action taken with regards to therapy with Gardasil was not reported. Additional information has been requested.


Changed on 3/2/2010

279045 Before After
VAERS Form:
Age:(blank) 20.0
Gender:Female
Location:Unknown South Carolina
Vaccinated:0000-00-00 2007-01-14
Onset:0000-00-00 2007-01-15
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0961F / 1 0 - LA / - IJ

Administered by: Other Private      Purchased by: Other
Symptoms: Hot flush

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA00422

Write-up:Information has been received from a nurse practitioner concerning a teenage female (age not reported) who on unspecified dates was vaccinated with the first and second doses of Gardasil. Concomitant medication was not reported. Subsequently on an unspecified dates, the patient developed hot flashes after her first and second doses of Gardasil. The onset of the hot flashes began within 24 hours post vaccination and the hot flashes lasted for a couple of days. The patient sought unspecified medical attention. The outcome and action taken with regards to therapy with Gardasil was not reported. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/17/2007. Information has been received from a nurse practitioner concerning a 20 year old female with no illness at the time of being vaccinated who on 14-JAN-2007 was vaccinated with the first dose of GARDASIL (lot # 654389/0961F) injection in the left deltoid at 4:30 PM. On 06-MAR-2007, the patient was vaccinated with the second dose of GARDASIL (lot # 654741/0013U) injection in the left deltoid at 11:30 AM. The patient was not on concomitant medication. On 15-JAN-2007 and 07-MAR-2007, the patient developed hot flashes after her first and second dose of GARDASIL respectively. The onset of the hot flashes began within 24 hours post vaccination and the hot flashes lasted for a couple of days. The patient sought unspecified medical attention. On unspecified dates, the patient recovered from the hot flashes. No additional information is expected.


Changed on 4/7/2010

279045 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:South Carolina
Vaccinated:2007-01-14
Onset:2007-01-15
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 LA / IJ

Administered by: Private      Purchased by: Other
Symptoms: Hot flush, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA00422

Write-up:Information has been received from a nurse practitioner concerning a teenage female (age not reported) who on unspecified dates was vaccinated with the first and second doses of Gardasil. Concomitant medication was not reported. Subsequently on an unspecified dates, the patient developed hot flashes after her first and second doses of Gardasil. The onset of the hot flashes began within 24 hours post vaccination and the hot flashes lasted for a couple of days. The patient sought unspecified medical attention. The outcome and action taken with regards to therapy with Gardasil was not reported. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/17/2007. Information has been received from a nurse practitioner concerning a 20 year old female with no illness at the time of being vaccinated who on 14-JAN-2007 was vaccinated with the first dose of GARDASIL (lot # 654389/0961F) injection in the left deltoid at 4:30 PM. On 06-MAR-2007, the patient was vaccinated with the second dose of GARDASIL (lot # 654741/0013U) injection in the left deltoid at 11:30 AM. The patient was not on concomitant medication. On 15-JAN-2007 and 07-MAR-2007, the patient developed hot flashes after her first and second dose of GARDASIL respectively. The onset of the hot flashes began within 24 hours post vaccination and the hot flashes lasted for a couple of days. The patient sought unspecified medical attention. On unspecified dates, the patient recovered from the hot flashes. No additional information is expected.


Changed on 6/14/2014

279045 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:South Carolina
Vaccinated:2007-01-14
Onset:2007-01-15
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 LA / IJ

Administered by: Private      Purchased by: Other
Symptoms: Hot flush, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA00422

Write-up:Information has been received from a nurse practitioner concerning a teenage female (age not reported) who on unspecified dates was vaccinated with the first and second doses of Gardasil. Concomitant medication was not reported. Subsequently on an unspecified dates, the patient developed hot flashes after her first and second doses of Gardasil. The onset of the hot flashes began within 24 hours post vaccination and the hot flashes lasted for a couple of days. The patient sought unspecified medical attention. The outcome and action taken with regards to therapy with Gardasil was not reported. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/17/2007. Information has been received from a nurse practitioner concerning a 20 year old female with no illness at the time of being vaccinated who on 14-JAN-2007 was vaccinated with the first dose of GARDASIL (lot # 654389/0961F) injection in the left deltoid at 4:30 PM. On 06-MAR-2007, the patient was vaccinated with the second dose of GARDASIL (lot # 654741/0013U) injection in the left deltoid at 11:30 AM. The patient was not on concomitant medication. On 15-JAN-2007 and 07-MAR-2007, the patient developed hot flashes after her first and second dose of GARDASIL respectively. The onset of the hot flashes began within 24 hours post vaccination and the hot flashes lasted for a couple of days. The patient sought unspecified medical attention. On unspecified dates, the patient recovered from the hot flashes. No additional information is expected.


Changed on 5/14/2017

279045 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:South Carolina
Vaccinated:2007-01-14
Onset:2007-01-15
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 LA / IJ

Administered by: Private      Purchased by: Other
Symptoms: Hot flush, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA00422

Write-up:Information has been received from a nurse practitioner concerning a teenage female (age not reported) who on unspecified dates was vaccinated with the first and second doses of Gardasil. Concomitant medication was not reported. Subsequently on an unspecified dates, the patient developed hot flashes after her first and second doses of Gardasil. The onset of the hot flashes began within 24 hours post vaccination and the hot flashes lasted for a couple of days. The patient sought unspecified medical attention. The outcome and action taken with regards to therapy with Gardasil was not reported. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/17/2007. Information has been received from a nurse practitioner concerning a 20 year old female with no illness at the time of being vaccinated who on 14-JAN-2007 was vaccinated with the first dose of GARDASIL (lot # 654389/0961F) injection in the left deltoid at 4:30 PM. On 06-MAR-2007, the patient was vaccinated with the second dose of GARDASIL (lot # 654741/0013U) injection in the left deltoid at 11:30 AM. The patient was not on concomitant medication. On 15-JAN-2007 and 07-MAR-2007, the patient developed hot flashes after her first and second dose of GARDASIL respectively. The onset of the hot flashes began within 24 hours post vaccination and the hot flashes lasted for a couple of days. The patient sought unspecified medical attention. On unspecified dates, the patient recovered from the hot flashes. No additional information is expected.


Changed on 9/14/2017

279045 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:South Carolina
Vaccinated:2007-01-14
Onset:2007-01-15
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 1 LA / IJ

Administered by: Private      Purchased by: Other
Symptoms: Hot flush, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA00422

Write-up:Information has been received from a nurse practitioner concerning a teenage female (age not reported) who on unspecified dates was vaccinated with the first and second doses of Gardasil. Concomitant medication was not reported. Subsequently on an unspecified dates, the patient developed hot flashes after her first and second doses of Gardasil. The onset of the hot flashes began within 24 hours post vaccination and the hot flashes lasted for a couple of days. The patient sought unspecified medical attention. The outcome and action taken with regards to therapy with Gardasil was not reported. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/17/2007. Information has been received from a nurse practitioner concerning a 20 year old female with no illness at the time of being vaccinated who on 14-JAN-2007 was vaccinated with the first dose of GARDASIL (lot # 654389/0961F) injection in the left deltoid at 4:30 PM. On 06-MAR-2007, the patient was vaccinated with the second dose of GARDASIL (lot # 654741/0013U) injection in the left deltoid at 11:30 AM. The patient was not on concomitant medication. On 15-JAN-2007 and 07-MAR-2007, the patient developed hot flashes after her first and second dose of GARDASIL respectively. The onset of the hot flashes began within 24 hours post vaccination and the hot flashes lasted for a couple of days. The patient sought unspecified medical attention. On unspecified dates, the patient recovered from the hot flashes. No additional information is expected.


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