National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 279194

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279194
VAERS Form:
Age:24.0
Gender:Female
Location:New York
Vaccinated:2007-02-19
Onset:2007-02-19
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Headache, Nausea

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: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 24 year old female with no pertinent medical history or drug reactions/allergies, who on 19-FEB-2007 was vaccinated with Gardasil (lot # 655618/0186U). There was no concomitant medication."On 19-FEB-2007, /"about 2 hours after vaccination/" the patient experienced a severe headache and nausea. The patient stayed home from work and took Tylenol. The patient subsequently recovered from the severe headache and nausea on 20-FEB-2007. Additional


Changed on 12/8/2009

279194 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:New York
Vaccinated:2007-02-19
Onset:2007-02-19
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Headache, Nausea

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: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0704USA02181

Write-up:Information has been received from a registered nurse concerning a 24 year old female with no pertinent medical history or drug reactions/allergies, who on 19-FEB-2007 was vaccinated with Gardasil (lot # 655618/0186U). There was no concomitant medication."On medication. On 19-FEB-2007, /"about "about 2 hours after vaccination/" vaccination" the patient experienced a severe headache and nausea. The patient stayed home from work and took Tylenol. The patient subsequently recovered from the severe headache and nausea on 20-FEB-2007. Additional information has been requested.


Changed on 9/14/2017

279194 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Female
Location:New York
Vaccinated:2007-02-19
Onset:2007-02-19
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Headache, Nausea

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: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA02181

Write-up:Information has been received from a registered nurse concerning a 24 year old female with no pertinent medical history or drug reactions/allergies, who on 19-FEB-2007 was vaccinated with Gardasil (lot # 655618/0186U). There was no concomitant medication. On 19-FEB-2007, "about 2 hours after vaccination" the patient experienced a severe headache and nausea. The patient stayed home from work and took Tylenol. The patient subsequently recovered from the severe headache and nausea on 20-FEB-2007. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279194&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166