National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 279497

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279497
VAERS Form:
Age:26.0
Gender:Female
Location:Ohio
Vaccinated:2006-11-14
Onset:2006-11-15
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Nausea, Pain, Vomiting, Adnexa uteri pain

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: Ortho Tri Cyclen
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning her 26 year old female daughter who on 14-NOV-2006 was vaccinated with the first dose of Gardasil, injection, 0.5 ml. Concomitant therapy included Ortho Tri-Cyclen. On 15-NOV-2006 the follow"ing day after receiving the first dose of Gardasil, the patient experienced nausea, vomiting and severe ovary aches. On 12-DEC-2006, the second dose of Gardasil, the patient experienced nausea, vomiting and severe ovary aches. The third dose of Gardasil w


Changed on 12/8/2009

279497 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Ohio
Vaccinated:2006-11-14
Onset:2006-11-15
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Nausea, Pain, Vomiting, Adnexa uteri pain

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: Ortho Tri Cyclen
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0704USA04225

Write-up:Information has been received from a registered nurse concerning her 26 year old female daughter who on 14-NOV-2006 was vaccinated with the first dose of Gardasil, injection, 0.5 ml. Concomitant therapy included Ortho Tri-Cyclen. On 15-NOV-2006 the follow"ing following day after receiving the first dose of Gardasil, the patient experienced nausea, vomiting and severe ovary aches. On 12-DEC-2006, the second dose of Gardasil, the patient experienced nausea, vomiting and severe ovary aches. The third dose of Gardasil w was received on 13-APR-2007. On 14-APR-2007, the patient experienced nausea, vomiting and the patient has recovered from the events. Additional information has been requested.


Changed on 9/14/2017

279497 Before After
VAERS Form:(blank) 1
Age:26.0
Gender:Female
Location:Ohio
Vaccinated:2006-11-14
Onset:2006-11-15
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 3 - / -

Administered by: Other      Purchased by: Other
Symptoms: Nausea, Pain, Vomiting, Adnexa uteri pain

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: Ortho Tri Cyclen
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA04225

Write-up:Information has been received from a registered nurse concerning her 26 year old female daughter who on 14-NOV-2006 was vaccinated with the first dose of Gardasil, injection, 0.5 ml. Concomitant therapy included Ortho Tri-Cyclen. On 15-NOV-2006 the following day after receiving the first dose of Gardasil, the patient experienced nausea, vomiting and severe ovary aches. On 12-DEC-2006, the second dose of Gardasil, the patient experienced nausea, vomiting and severe ovary aches. The third dose of Gardasil was received on 13-APR-2007. On 14-APR-2007, the patient experienced nausea, vomiting and the patient has recovered from the events. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279497&WAYBACKHISTORY=ON


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