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This is VAERS ID 279126

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279126
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-05-08
Onset:2007-05-10
Submitted:2007-05-16
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Lymphadenopathy, Pharyngolaryngeal pain

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: Tetracycline, Yasmin
Current Illness: denies
Preexisting Conditions: denies
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Weakness, dizziness, sore throat, swollen glands w/in 2d of vaccine.


Changed on 12/8/2009

279126 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-05-08
Onset:2007-05-10
Submitted:2007-05-16
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Asthenia, Dizziness, Lymphadenopathy, Pharyngolaryngeal pain

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: Tetracycline, Yasmin
Current Illness: denies
Preexisting Conditions: denies
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Weakness, dizziness, sore throat, swollen glands w/in 2d of vaccine.


Changed on 9/14/2017

279126 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-05-08
Onset:2007-05-10
Submitted:2007-05-16
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Dizziness, Lymphadenopathy, Pharyngolaryngeal pain

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: Tetracycline, Yasmin
Current Illness: denies
Preexisting Conditions: denies
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Weakness, dizziness, sore throat, swollen glands w/in 2d of vaccine.


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