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This is VAERS ID 279263

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279263
VAERS Form:
Age:17.0
Gender:Female
Location:Arizona
Vaccinated:2007-04-05
Onset:2007-04-07
Submitted:2007-05-09
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Public      Purchased by: Unknown
Symptoms: Headache, Nausea, Pain, Pharyngolaryngeal pain, Pyrexia

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: none
Current Illness: none
Preexisting Conditions: acne
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient received Gardasil vaccine 4/5/07 and 2 days later developed fever to 103 body aches, sore throat, nausea, headache.


Changed on 12/8/2009

279263 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Arizona
Vaccinated:2007-04-05
Onset:2007-04-07
Submitted:2007-05-09
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: Headache, Nausea, Pain, Pharyngolaryngeal pain, Pyrexia

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: none
Current Illness: none
Preexisting Conditions: acne
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient received Gardasil vaccine 4/5/07 and 2 days later developed fever to 103 body aches, sore throat, nausea, headache.


Changed on 9/14/2017

279263 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Arizona
Vaccinated:2007-04-05
Onset:2007-04-07
Submitted:2007-05-09
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Headache, Nausea, Pain, Pharyngolaryngeal pain, Pyrexia

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: none
Current Illness: none
Preexisting Conditions: acne
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient received Gardasil vaccine 4/5/07 and 2 days later developed fever to 103 body aches, sore throat, nausea, headache.


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