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This is VAERS ID 279046

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279046
Age:25.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-28
Onset:2007-03-30
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Dizziness, Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Information has been received from a certified medical assistant concerning a 25 year old female with no pertinent medical history and with penicillin allergy who on 28-MAR-2007, was vaccinated with first dose of Gardasil (Lot#655618/0186U). There was no"concomitant medication. On 30-MAR-2007, the patient developed widespread body aches, chills and dizziness two days after receiving the vaccine. On 31-MAR-2007, within 24 hours, the patient recovered from widespread body aches, chills and dizziness without


Changed on 12/8/2009

VAERS ID: 279046 Before After
Age:25.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-28
Onset:2007-03-30
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Dizziness, Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: none
CDC 'Split Type': (blank) WAES0704USA00424

Write-up:Information has been received from a certified medical assistant concerning a 25 year old female with no pertinent medical history and with penicillin allergy who on 28-MAR-2007, was vaccinated with first dose of Gardasil (Lot#655618/0186U). There was no"concomitant no concomitant medication. On 30-MAR-2007, the patient developed widespread body aches, chills and dizziness two days after receiving the vaccine. On 31-MAR-2007, within 24 hours, the patient recovered from widespread body aches, chills and dizziness without treatment. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 279046 Before After
Age:25.0
Gender:Female
Location:Unknown Connecticut
Vaccinated:2007-03-28
Onset:2007-03-30
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Dizziness, Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: Penicillin allergy
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: none
CDC 'Split Type': WAES0704USA00424

Write-up:This is in follow-up to report (s) previously submitted on 5/14/2007. Information has been received from a certified medical assistant concerning a 25 year old female with no pertinent medical history and with penicillin allergy (nausea, vomiting and hives at age 5) who on 28-MAR-2007, was vaccinated with first dose of Gardasil (Lot#655618/0186U). There was no concomitant medication. On 30-MAR-2007, the patient developed widespread body aches, chills and dizziness two days after receiving the vaccine. When she took a deep breath she experienced coughing that lasted a few seconds and some tightness. On 31-MAR-2007, within 24 hours, (at 12:00 noon), the patient recovered from widespread body aches, chills chills, coughing, tightness and dizziness without treatment. The patient sought unspecified medical attention. Additional information has been requested. is not expected.


Changed on 4/7/2010

VAERS ID: 279046 Before After
Age:25.0
Gender:Female
Location:Connecticut
Vaccinated:2007-03-28
Onset:2007-03-30
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest discomfort, Chills, Cough, Dizziness, Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: Penicillin allergy
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: none
CDC 'Split Type': WAES0704USA00424

Write-up:This is in follow-up to report (s) previously submitted on 5/14/2007. Information has been received from a certified medical assistant concerning a 25 year old female with no pertinent medical history and with penicillin allergy (nausea, vomiting and hives at age 5) who on 28-MAR-2007, was vaccinated with first dose of Gardasil (Lot#655618/0186U). There was no concomitant medication. On 30-MAR-2007, the patient developed widespread body aches, chills and dizziness two days after receiving the vaccine. When she took a deep breath she experienced coughing that lasted a few seconds and some tightness. On 31-MAR-2007, within 24 hours, (at 12:00 noon), the patient recovered from widespread body aches, chills, coughing, tightness and dizziness without treatment. The patient sought unspecified medical attention. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 279046 Before After
Age:25.0
Gender:Female
Location:Connecticut
Vaccinated:2007-03-28
Onset:2007-03-30
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest discomfort, Chills, Cough, Dizziness, Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: Penicillin allergy
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: none
CDC 'Split Type': WAES0704USA00424

Write-up:This is in follow-up to report (s) previously submitted on 5/14/2007. Information has been received from a certified medical assistant concerning a 25 year old female with no pertinent medical history and with penicillin allergy (nausea, vomiting and hives at age 5) who on 28-MAR-2007, was vaccinated with first dose of Gardasil (Lot#655618/0186U). There was no concomitant medication. On 30-MAR-2007, the patient developed widespread body aches, chills and dizziness two days after receiving the vaccine. When she took a deep breath she experienced coughing that lasted a few seconds and some tightness. On 31-MAR-2007, within 24 hours, (at 12:00 noon), the patient recovered from widespread body aches, chills, coughing, tightness and dizziness without treatment. The patient sought unspecified medical attention. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 279046 Before After
Age:25.0
Gender:Female
Location:Connecticut
Vaccinated:2007-03-28
Onset:2007-03-30
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest discomfort, Chills, Cough, Dizziness, Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: Penicillin allergy
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: none
CDC 'Split Type': WAES0704USA00424

Write-up:This is in follow-up to report (s) previously submitted on 5/14/2007. Information has been received from a certified medical assistant concerning a 25 year old female with no pertinent medical history and with penicillin allergy (nausea, vomiting and hives at age 5) who on 28-MAR-2007, was vaccinated with first dose of Gardasil (Lot#655618/0186U). There was no concomitant medication. On 30-MAR-2007, the patient developed widespread body aches, chills and dizziness two days after receiving the vaccine. When she took a deep breath she experienced coughing that lasted a few seconds and some tightness. On 31-MAR-2007, within 24 hours, (at 12:00 noon), the patient recovered from widespread body aches, chills, coughing, tightness and dizziness without treatment. The patient sought unspecified medical attention. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279046&WAYBACKHISTORY=ON


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