National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 279195

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279195
VAERS Form:
Age:24.0
Gender:Female
Location:Texas
Vaccinated:2007-03-29
Onset:2007-03-29
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: Unknown
Symptoms: Feeling hot

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a certified medical assistant concerning a 24 year old female who on unspecified dates was vaccinated with the first and second doses of Gardasil. On 29-MAR-2007, the patient was vaccinated with a third dose of Gardasil."On 29-MAR-2007, the patient was feeling fine at first, within the next five minutes or so, the patient was feeling very hot. The outcome was not reported. Additional information has been requested.


Changed on 12/8/2009

279195 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Texas
Vaccinated:2007-03-29
Onset:2007-03-29
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: Unknown Other
Symptoms: Feeling hot

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA02205

Write-up:Information has been received from a certified medical assistant concerning a 24 year old female who on unspecified dates was vaccinated with the first and second doses of Gardasil. On 29-MAR-2007, the patient was vaccinated with a third dose of Gardasil."On Gardasil. On 29-MAR-2007, the patient was feeling fine at first, within the next five minutes or so, the patient was feeling very hot. The outcome was not reported. Additional information has been requested.


Changed on 9/14/2017

279195 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Female
Location:Texas
Vaccinated:2007-03-29
Onset:2007-03-29
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Feeling hot

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA02205

Write-up:Information has been received from a certified medical assistant concerning a 24 year old female who on unspecified dates was vaccinated with the first and second doses of Gardasil. On 29-MAR-2007, the patient was vaccinated with a third dose of Gardasil. On 29-MAR-2007, the patient was feeling fine at first, within the next five minutes or so, the patient was feeling very hot. The outcome was not reported. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279195&WAYBACKHISTORY=ON


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