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This is VAERS ID 279483

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279483
VAERS Form:
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2006-09-14
Onset:2006-09-14
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Pyrexia, Reaction to previous exposure to any vaccine

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: FLUZONE
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician''''s nurse concerning her 14 year old daughter who on 14-SEP-2006 was vaccinated with the first dose Gardasil (lot #653735/0688F). Concomitant therapy included Fluzone. On 09-NOV-2006, the patient received the"second dose of Gardasil (lot653735/0688F). On 21-MAR-2007, the patient received the third dose of Gardasil (lot #655503/0012U). The nurse reported that after her daughter received all three injections, she experienced a high fever of 103-104 degrees fahre


Changed on 12/8/2009

279483 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2006-09-14
Onset:2006-09-14
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Pyrexia, Reaction to previous exposure to any vaccine

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: FLUZONE
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA03744

Write-up:Information has been received from a physician''''s physician''s nurse concerning her 14 year old daughter who on 14-SEP-2006 was vaccinated with the first dose Gardasil (lot #653735/0688F). Concomitant therapy included Fluzone. On 09-NOV-2006, the patient received the"second the second dose of Gardasil (lot653735/0688F). On 21-MAR-2007, the patient received the third dose of Gardasil (lot #655503/0012U). The nurse reported that after her daughter received all three injections, she experienced a high fever of 103-104 degrees fahre fahrenheit. The fever resolved each time after about one day. Additional information has been requested.


Changed on 9/14/2017

279483 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2006-09-14
Onset:2006-09-14
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / - UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Pyrexia, Reaction to previous exposure to any vaccine

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: FLUZONE
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA03744

Write-up:Information has been received from a physician''s nurse concerning her 14 year old daughter who on 14-SEP-2006 was vaccinated with the first dose Gardasil (lot #653735/0688F). Concomitant therapy included Fluzone. On 09-NOV-2006, the patient received the second dose of Gardasil (lot653735/0688F). On 21-MAR-2007, the patient received the third dose of Gardasil (lot #655503/0012U). The nurse reported that after her daughter received all three injections, she experienced a high fever of 103-104 degrees fahrenheit. The fever resolved each time after about one day. Additional information has been requested.


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