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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
VAERS Form:
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
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: none
Current Illness:
Preexisting Conditions: Unk
Allergies:
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
VAERS Form:
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
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: none
Current Illness:
Preexisting Conditions: Unk
Allergies:
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.


Changed on 9/14/2017

VAERS ID: 279064 Before After
VAERS Form:(blank) 1
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 2 UN / UN

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

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: none
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': 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 approximately 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 vaccination, the physician reported that there were "no ill effects." The patient sought unspecified medical attention. No further information is expected.


Changed on 2/14/2018

VAERS ID: 279064 Before After
VAERS Form:1
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. - / 2 UN / UN

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

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: none
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': 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 approximately 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 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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