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This is VAERS ID 279494

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279494
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-06
Onset:2007-02-06
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a pharmacist concerning her daughter, a 14 year old female with an amoxicillin allergy who on 06-FEB-2007 was vaccinated with Gardasil. Concomitant therapy included hepatitis B virus vaccine (unspecified) in the other ar"m. On 06-FEB-2007, at the time of administration, the patient experienced severe pain. The patient sought unspecified medical attention. On 07-FEB-20074, after a day, the patient recovered from severe pain. Additional information is not expected.


Changed on 12/8/2009

VAERS ID: 279494 Before After
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-06
Onset:2007-02-06
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0704USA04098

Write-up:Information has been received from a pharmacist concerning her daughter, a 14 year old female with an amoxicillin allergy who on 06-FEB-2007 was vaccinated with Gardasil. Concomitant therapy included hepatitis B virus vaccine (unspecified) in the other ar"m. arm. On 06-FEB-2007, at the time of administration, the patient experienced severe pain. The patient sought unspecified medical attention. On 07-FEB-20074, after a day, the patient recovered from severe pain. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279494&WAYBACKHISTORY=ON


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