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This is VAERS ID 279176

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279176
VAERS Form:
Age:37.0
Gender:Female
Location:Unknown
Vaccinated:2006-08-11
Onset:2006-08-11
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 1 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Arthralgia, Diarrhoea, Dizziness, Inappropriate schedule of drug administration, Influenza like illness

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: FLONASE, ibuprofen
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner (NP), concerning a 37 year old female patient with drug hypersensitivity to bacitracin, Neosporin who on 11-AUG-2006 was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot #653650/0702F), an"d on 11-OCT-2006 with the second dose, 0.5ml, IM, of Gardasil (Lot #654540/0800F). Concomitantly therapy included Flonase and ibuprofen. The NP stated when the patient called to schedule her third dose of Gardasil, she reported that on 12-AUG-2006 followi


Changed on 12/8/2009

279176 Before After
VAERS Form:
Age:37.0
Gender:Female
Location:Unknown
Vaccinated:2006-08-11
Onset:2006-08-11
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 1 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Arthralgia, Diarrhoea, Dizziness, Inappropriate schedule of drug administration, Influenza like illness, Insomnia, Myalgia, Nausea, Pyrexia, 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: FLONASE, ibuprofen
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA01468

Write-up:Information has been received from a nurse practitioner (NP), concerning a 37 year old female patient with drug hypersensitivity to bacitracin, Neosporin who on 11-AUG-2006 was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot #653650/0702F), an"d and on 11-OCT-2006 with the second dose, 0.5ml, IM, of Gardasil (Lot #654540/0800F). Concomitantly Concomitant therapy included Flonase and ibuprofen. The NP stated when the patient called to schedule her third dose of Gardasil, she reported that on 12-AUG-2006 followi following the first vaccination, she experienced dizziness and had "flu-like symptoms," including nausea, vomiting, diarrhea, arthralgia, myalgia, sleeplessness and fever (specified as "not above 100F"); she recovered on 17-AUG-2006. In addition, on 11-OCT-2006 following her second vaccination, the patient experienced identical events, and recovered on 16-OCT-2006. The NP stated she was "not sure that the patient should receive her third dose of the Gardasil." The patient sought unspecified medical attention. No further information is expected.


Changed on 3/2/2010

279176 Before After
VAERS Form:
Age:37.0 36.0
Gender:Female
Location:Unknown Maryland
Vaccinated:2006-08-11
Onset:2006-08-11
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F 0702F / 1 0 - UN / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Arthralgia, Diarrhoea, Dizziness, Inappropriate schedule of drug administration, Influenza like illness, Insomnia, Myalgia, Nausea, Pyrexia, 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: FLONASE, ibuprofen FLONASE; IBUPROFEN
Current Illness: Drug hypersensitivity
Preexisting Conditions: Drug hypersensitivity
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA01468

Write-up:Information has been received from a nurse practitioner (NP), concerning a 37 year old female patient with drug hypersensitivity to bacitracin, Neosporin BACITRACIN, NEOSPORIN who on 11-AUG-2006 at 2:15 pm was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot #653650/0702F), and on 11-OCT-2006 at 5:39 pm with the second dose, 0.5ml, IM, of Gardasil (Lot #654540/0800F). Concomitant therapy included Flonase FLONASE and ibuprofen. IBUPROFEN. The NP stated when the patient called to schedule her third dose of Gardasil, she reported that on 12-AUG-2006 following the first vaccination, she experienced dizziness and had "flu-like symptoms," including nausea, vomiting, diarrhea, arthralgia, myalgia, sleeplessness and fever (specified as "not above 100F"); she recovered on 17-AUG-2006. In addition, on 11-OCT-2006 following her second vaccination, the patient experienced identical events, and recovered on 16-OCT-2006. The NP stated she was "not sure that the patient should receive her third dose of the Gardasil." The patient sought unspecified medical attention. No further information is expected.


Changed on 4/7/2010

279176 Before After
VAERS Form:
Age:36.0
Gender:Female
Location:Maryland
Vaccinated:2006-08-11
Onset:2006-08-11
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Diarrhoea, Dizziness, Inappropriate schedule of drug administration, Influenza like illness, Insomnia, Myalgia, Nausea, Pyrexia, Vomiting, Vaccine positive rechallenge

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: FLONASE; IBUPROFEN
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA01468

Write-up:Information has been received from a nurse practitioner (NP), concerning a 37 year old female patient with drug hypersensitivity to BACITRACIN, NEOSPORIN who on 11-AUG-2006 at 2:15 pm was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot #653650/0702F), and on 11-OCT-2006 at 5:39 pm with the second dose, 0.5ml, IM, of Gardasil (Lot #654540/0800F). Concomitant therapy included FLONASE and IBUPROFEN. The NP stated when the patient called to schedule her third dose of Gardasil, she reported that on 12-AUG-2006 following the first vaccination, she experienced dizziness and had "flu-like symptoms," including nausea, vomiting, diarrhea, arthralgia, myalgia, sleeplessness and fever (specified as "not above 100F"); she recovered on 17-AUG-2006. In addition, on 11-OCT-2006 following her second vaccination, the patient experienced identical events, and recovered on 16-OCT-2006. The NP stated she was "not sure that the patient should receive her third dose of the Gardasil." The patient sought unspecified medical attention. No further information is expected.


Changed on 7/31/2010

279176 Before After
VAERS Form:
Age:36.0
Gender:Female
Location:Maryland
Vaccinated:2006-08-11
Onset:2006-08-11
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Diarrhoea, Dizziness, Inappropriate schedule of drug administration, Influenza like illness, Insomnia, Myalgia, Nausea, Pyrexia, Vomiting, Vaccine positive rechallenge

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: FLONASE; IBUPROFEN
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA01468

Write-up:Information has been received from a nurse practitioner (NP), concerning a 37 year old female patient with drug hypersensitivity to BACITRACIN, NEOSPORIN who on 11-AUG-2006 at 2:15 pm was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot #653650/0702F), and on 11-OCT-2006 at 5:39 pm with the second dose, 0.5ml, IM, of Gardasil (Lot #654540/0800F). Concomitant therapy included FLONASE and IBUPROFEN. The NP stated when the patient called to schedule her third dose of Gardasil, she reported that on 12-AUG-2006 following the first vaccination, she experienced dizziness and had "flu-like symptoms," including nausea, vomiting, diarrhea, arthralgia, myalgia, sleeplessness and fever (specified as "not above 100F"); she recovered on 17-AUG-2006. In addition, on 11-OCT-2006 following her second vaccination, the patient experienced identical events, and recovered on 16-OCT-2006. The NP stated she was "not sure that the patient should receive her third dose of the Gardasil." The patient sought unspecified medical attention. No further information is expected.


Changed on 4/13/2011

279176 Before After
VAERS Form:
Age:36.0
Gender:Female
Location:Maryland
Vaccinated:2006-08-11
Onset:2006-08-11
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Diarrhoea, Dizziness, Inappropriate schedule of drug administration, Influenza like illness, Insomnia, Myalgia, Nausea, Pyrexia, Vomiting, Vaccine positive rechallenge

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: FLONASE; IBUPROFEN
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA01468

Write-up:Information has been received from a nurse practitioner (NP), concerning a 37 year old female patient with drug hypersensitivity to BACITRACIN, NEOSPORIN who on 11-AUG-2006 at 2:15 pm was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot #653650/0702F), and on 11-OCT-2006 at 5:39 pm with the second dose, 0.5ml, IM, of Gardasil (Lot #654540/0800F). Concomitant therapy included FLONASE and IBUPROFEN. The NP stated when the patient called to schedule her third dose of Gardasil, she reported that on 12-AUG-2006 following the first vaccination, she experienced dizziness and had "flu-like symptoms," including nausea, vomiting, diarrhea, arthralgia, myalgia, sleeplessness and fever (specified as "not above 100F"); she recovered on 17-AUG-2006. In addition, on 11-OCT-2006 following her second vaccination, the patient experienced identical events, and recovered on 16-OCT-2006. The NP stated she was "not sure that the patient should receive her third dose of the Gardasil." The patient sought unspecified medical attention. No further information is expected.


Changed on 5/13/2011

279176 Before After
VAERS Form:
Age:36.0
Gender:Female
Location:Maryland
Vaccinated:2006-08-11
Onset:2006-08-11
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Diarrhoea, Dizziness, Inappropriate schedule of drug administration, Influenza like illness, Insomnia, Myalgia, Nausea, Pyrexia, Vomiting, Vaccine positive rechallenge

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: FLONASE; IBUPROFEN
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA01468

Write-up:Information has been received from a nurse practitioner (NP), concerning a 37 year old female patient with drug hypersensitivity to BACITRACIN, NEOSPORIN who on 11-AUG-2006 at 2:15 pm was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot #653650/0702F), and on 11-OCT-2006 at 5:39 pm with the second dose, 0.5ml, IM, of Gardasil (Lot #654540/0800F). Concomitant therapy included FLONASE and IBUPROFEN. The NP stated when the patient called to schedule her third dose of Gardasil, she reported that on 12-AUG-2006 following the first vaccination, she experienced dizziness and had "flu-like symptoms," including nausea, vomiting, diarrhea, arthralgia, myalgia, sleeplessness and fever (specified as "not above 100F"); she recovered on 17-AUG-2006. In addition, on 11-OCT-2006 following her second vaccination, the patient experienced identical events, and recovered on 16-OCT-2006. The NP stated she was "not sure that the patient should receive her third dose of the Gardasil." The patient sought unspecified medical attention. No further information is expected.


Changed on 6/11/2011

279176 Before After
VAERS Form:
Age:36.0
Gender:Female
Location:Maryland
Vaccinated:2006-08-11
Onset:2006-08-11
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Diarrhoea, Dizziness, Inappropriate schedule of drug administration, Influenza like illness, Insomnia, Myalgia, Nausea, Pyrexia, Vomiting, Vaccine positive rechallenge

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: FLONASE; IBUPROFEN
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA01468

Write-up:Information has been received from a nurse practitioner (NP), concerning a 37 year old female patient with drug hypersensitivity to BACITRACIN, NEOSPORIN who on 11-AUG-2006 at 2:15 pm was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot #653650/0702F), and on 11-OCT-2006 at 5:39 pm with the second dose, 0.5ml, IM, of Gardasil (Lot #654540/0800F). Concomitant therapy included FLONASE and IBUPROFEN. The NP stated when the patient called to schedule her third dose of Gardasil, she reported that on 12-AUG-2006 following the first vaccination, she experienced dizziness and had "flu-like symptoms," including nausea, vomiting, diarrhea, arthralgia, myalgia, sleeplessness and fever (specified as "not above 100F"); she recovered on 17-AUG-2006. In addition, on 11-OCT-2006 following her second vaccination, the patient experienced identical events, and recovered on 16-OCT-2006. The NP stated she was "not sure that the patient should receive her third dose of the Gardasil." The patient sought unspecified medical attention. No further information is expected.


Changed on 6/14/2014

279176 Before After
VAERS Form:
Age:36.0
Gender:Female
Location:Maryland
Vaccinated:2006-08-11
Onset:2006-08-11
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Diarrhoea, Dizziness, Inappropriate schedule of drug administration, Influenza like illness, Insomnia, Myalgia, Nausea, Pyrexia, Vomiting, Vaccine positive rechallenge

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: FLONASE; IBUPROFEN
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA01468

Write-up:Information has been received from a nurse practitioner (NP), concerning a 37 year old female patient with drug hypersensitivity to BACITRACIN, NEOSPORIN who on 11-AUG-2006 at 2:15 pm was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot #653650/0702F), and on 11-OCT-2006 at 5:39 pm with the second dose, 0.5ml, IM, of Gardasil (Lot #654540/0800F). Concomitant therapy included FLONASE and IBUPROFEN. The NP stated when the patient called to schedule her third dose of Gardasil, she reported that on 12-AUG-2006 following the first vaccination, she experienced dizziness and had "flu-like symptoms," including nausea, vomiting, diarrhea, arthralgia, myalgia, sleeplessness and fever (specified as "not above 100F"); she recovered on 17-AUG-2006. In addition, on 11-OCT-2006 following her second vaccination, the patient experienced identical events, and recovered on 16-OCT-2006. The NP stated she was "not sure that the patient should receive her third dose of the Gardasil." The patient sought unspecified medical attention. No further information is expected.


Changed on 5/14/2017

279176 Before After
VAERS Form:
Age:36.0
Gender:Female
Location:Maryland
Vaccinated:2006-08-11
Onset:2006-08-11
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Diarrhoea, Dizziness, Inappropriate schedule of drug administration, Influenza like illness, Insomnia, Myalgia, Nausea, Pyrexia, Vomiting, Vaccine positive rechallenge

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: FLONASE; IBUPROFEN
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA01468

Write-up:Information has been received from a nurse practitioner (NP), concerning a 37 year old female patient with drug hypersensitivity to BACITRACIN, NEOSPORIN who on 11-AUG-2006 at 2:15 pm was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot #653650/0702F), and on 11-OCT-2006 at 5:39 pm with the second dose, 0.5ml, IM, of Gardasil (Lot #654540/0800F). Concomitant therapy included FLONASE and IBUPROFEN. The NP stated when the patient called to schedule her third dose of Gardasil, she reported that on 12-AUG-2006 following the first vaccination, she experienced dizziness and had "flu-like symptoms," including nausea, vomiting, diarrhea, arthralgia, myalgia, sleeplessness and fever (specified as "not above 100F"); she recovered on 17-AUG-2006. In addition, on 11-OCT-2006 following her second vaccination, the patient experienced identical events, and recovered on 16-OCT-2006. The NP stated she was "not sure that the patient should receive her third dose of the Gardasil." The patient sought unspecified medical attention. No further information is expected.


Changed on 9/14/2017

279176 Before After
VAERS Form:(blank) 1
Age:36.0
Gender:Female
Location:Maryland
Vaccinated:2006-08-11
Onset:2006-08-11
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 1 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Diarrhoea, Dizziness, Inappropriate schedule of drug administration, Influenza like illness, Insomnia, Myalgia, Nausea, Pyrexia, 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: FLONASE; IBUPROFEN
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA01468

Write-up:Information has been received from a nurse practitioner (NP), concerning a 37 year old female patient with drug hypersensitivity to BACITRACIN, NEOSPORIN who on 11-AUG-2006 at 2:15 pm was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot #653650/0702F), and on 11-OCT-2006 at 5:39 pm with the second dose, 0.5ml, IM, of Gardasil (Lot #654540/0800F). Concomitant therapy included FLONASE and IBUPROFEN. The NP stated when the patient called to schedule her third dose of Gardasil, she reported that on 12-AUG-2006 following the first vaccination, she experienced dizziness and had "flu-like symptoms," including nausea, vomiting, diarrhea, arthralgia, myalgia, sleeplessness and fever (specified as "not above 100F"); she recovered on 17-AUG-2006. In addition, on 11-OCT-2006 following her second vaccination, the patient experienced identical events, and recovered on 16-OCT-2006. The NP stated she was "not sure that the patient should receive her third dose of the Gardasil." The patient sought unspecified medical attention. No further information is expected.


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