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This is VAERS ID 279520

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279520
Age:25.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-20
Onset:2006-10-27
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Vomiting, Vaccine positive rechallenge

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

Write-up:Information has been received from a nurse practitioner concerning a 25 year old female who on 20-OCT-2006 was vaccinated with the first dose of Gardasil, injection, 0.5 ml. Concomitant therapy included Ortho Tri-Cyclen. On approximately 27-OCT-2006 one w"eek after receiving the first dose of Gardasil, the patient developed vomiting. On 19-DEC-2006, the patient received the second dose of Gardasil. On approximately 26-DEC-2006 one week after received the second dose of Gardasil, the patient developed vomit


Changed on 12/8/2009

VAERS ID: 279520 Before After
Age:25.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-20
Onset:2006-10-27
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Vomiting, Vaccine positive rechallenge

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0704USA04535

Write-up:Information has been received from a nurse practitioner concerning a 25 year old female who on 20-OCT-2006 was vaccinated with the first dose of Gardasil, injection, 0.5 ml. Concomitant therapy included Ortho Tri-Cyclen. On approximately 27-OCT-2006 one w"eek week after receiving the first dose of Gardasil, the patient developed vomiting. On 19-DEC-2006, the patient received the second dose of Gardasil. On approximately 26-DEC-2006 one week after received the second dose of Gardasil, the patient developed vomit vomiting. The patient sought unspecified medical attention. Subsequently on unspecified dates, the patient recovered from the events of vomiting. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 279520 Before After
Age:25.0
Gender:Female
Location:Unknown Massachusetts
Vaccinated:2006-10-20
Onset:2006-10-27
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Vomiting, Vaccine positive rechallenge

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA04535

Write-up:Information has been received from a nurse practitioner concerning a 25 year old female who on 20-OCT-2006 was vaccinated with the first dose of Gardasil, injection, 0.5 ml. Concomitant therapy included Ortho Tri-Cyclen. On approximately 27-OCT-2006 one week after receiving the first dose of Gardasil, the patient developed vomiting. On 19-DEC-2006, the patient received the second dose of Gardasil. On approximately 26-DEC-2006 one week after received the second dose of Gardasil, the patient developed vomiting. The patient sought unspecified medical attention. Subsequently on unspecified dates, the patient recovered from the events of vomiting. Additional information has been requested. is not expected.


Changed on 6/14/2014

VAERS ID: 279520 Before After
Age:25.0
Gender:Female
Location:Massachusetts
Vaccinated:2006-10-20
Onset:2006-10-27
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Vomiting, Vaccine positive rechallenge

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA04535

Write-up:Information has been received from a nurse practitioner concerning a 25 year old female who on 20-OCT-2006 was vaccinated with the first dose of Gardasil, injection, 0.5 ml. Concomitant therapy included Ortho Tri-Cyclen. On approximately 27-OCT-2006 one week after receiving the first dose of Gardasil, the patient developed vomiting. On 19-DEC-2006, the patient received the second dose of Gardasil. On approximately 26-DEC-2006 one week after received the second dose of Gardasil, the patient developed vomiting. The patient sought unspecified medical attention. Subsequently on unspecified dates, the patient recovered from the events of vomiting. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 279520 Before After
Age:25.0
Gender:Female
Location:Massachusetts
Vaccinated:2006-10-20
Onset:2006-10-27
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Vomiting, Vaccine positive rechallenge

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA04535

Write-up:Information has been received from a nurse practitioner concerning a 25 year old female who on 20-OCT-2006 was vaccinated with the first dose of Gardasil, injection, 0.5 ml. Concomitant therapy included Ortho Tri-Cyclen. On approximately 27-OCT-2006 one week after receiving the first dose of Gardasil, the patient developed vomiting. On 19-DEC-2006, the patient received the second dose of Gardasil. On approximately 26-DEC-2006 one week after received the second dose of Gardasil, the patient developed vomiting. The patient sought unspecified medical attention. Subsequently on unspecified dates, the patient recovered from the events of vomiting. Additional information is not expected.


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