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This is VAERS ID 279197

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279197
Age:11.0
Gender:Female
Location:Utah
Vaccinated:2007-04-10
Onset:2007-04-11
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Nausea, Pain in extremity, Vomiting

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TETANUS ANTITOXIN USP
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 11 year old female who on 10-APR-2007 was vaccinated with Gardasil. Concomitant therapy included tetanus antitoxin USP. On 11-APR-2007 the patient experienced a sore arm, nausea and vomiting. Thi"s is one of two reports received from the same source. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 279197 Before After
Age:11.0
Gender:Female
Location:Utah
Vaccinated:2007-04-10
Onset:2007-04-11
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Nausea, Pain in extremity, Vomiting

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TETANUS ANTITOXIN USP
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0704USA02236

Write-up:Information has been received from a physician concerning a 11 year old female who on 10-APR-2007 was vaccinated with Gardasil. Concomitant therapy included tetanus antitoxin USP. On 11-APR-2007 the patient experienced a sore arm, nausea and vomiting. Thi"s This is one of two reports received from the same source. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279197&WAYBACKHISTORY=ON


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