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This is VAERS ID 279064

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279064
Age:24.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-26
Onset:2007-01-27
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Diarrhoea, Nausea, Vomiting

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: Unk
Diagnostic Lab Data: Unk
CDC 'Split Type':

Write-up:Initial and follow up information has been received from a physician and a nurse concerning a 24 year old female patient, who on 26-JAN-2007 (reported by the nurse as 25-JAN-2007) was vaccinated with the first dose, 0.5ml, of Gardasil, and on approximate"ly 26-MAR-2007 (/"two months later/") with the second dose of Gardasil. There was no concomitant medication. On 27-JAN-2007 the patient developed diarrhea, nausea and vomiting. The patient recovered from the events (date unspecified); following the second


Changed on 12/8/2009

VAERS ID: 279064 Before After
Age:24.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-26
Onset:2007-01-27
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Diarrhoea, Nausea, Vomiting

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: Unk
Diagnostic Lab Data: Unk
CDC 'Split Type': (blank) WAES0704USA00843

Write-up:Initial and follow up information has been received from a physician and a nurse concerning a 24 year old female patient, who on 26-JAN-2007 (reported by the nurse as 25-JAN-2007) was vaccinated with the first dose, 0.5ml, of Gardasil, and on approximate"ly approximately 26-MAR-2007 (/"two ("two months later/") later") with the second dose of Gardasil. There was no concomitant medication. On 27-JAN-2007 the patient developed diarrhea, nausea and vomiting. The patient recovered from the events (date unspecified); following the second vaccination, the physician reported that there were "no ill effects." The patient sought unspecified medical attention. No further information is expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279064&WAYBACKHISTORY=ON


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