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This is VAERS ID 279169

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279169
VAERS Form:
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-08
Onset:2006-10-08
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0689F / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Insomnia

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: YASMIN
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 26 year old female who on 08-OCT-2007 was vaccinated with her first dose of Gardasil (lot # 653736/0689F). Concomitant therapy included Yasmin. The patient received her second dose of Gardasil (l"ot # 653736/0689F) on 08-DEC-2006 and her third dose (lot # 653736/0014U) on 03-APR-2007. The patient experienced insomnia after each dose was given. No lab diagnostics were performed. Subsequently she recovered. No further information is available.


Changed on 12/8/2009

279169 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-08
Onset:2006-10-08
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0689F / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Insomnia

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: YASMIN
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0704USA01200

Write-up:Information has been received from a physician concerning a 26 year old female who on 08-OCT-2007 was vaccinated with her first dose of Gardasil (lot # 653736/0689F). Concomitant therapy included Yasmin. The patient received her second dose of Gardasil (l"ot (lot # 653736/0689F) on 08-DEC-2006 and her third dose (lot # 653736/0014U) on 03-APR-2007. The patient experienced insomnia after each dose was given. No lab diagnostics were performed. Subsequently she recovered. No further information is available.


Changed on 9/14/2017

279169 Before After
VAERS Form:(blank) 1
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-08
Onset:2006-10-08
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0689F / - UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Insomnia

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: YASMIN
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA01200

Write-up:Information has been received from a physician concerning a 26 year old female who on 08-OCT-2007 was vaccinated with her first dose of Gardasil (lot # 653736/0689F). Concomitant therapy included Yasmin. The patient received her second dose of Gardasil (lot # 653736/0689F) on 08-DEC-2006 and her third dose (lot # 653736/0014U) on 03-APR-2007. The patient experienced insomnia after each dose was given. No lab diagnostics were performed. Subsequently she recovered. No further information is available.


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