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This is VAERS ID 279522

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279522
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
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, Vomiting, No reaction on previous exposure to drug

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

Write-up:Information has been received from a nurse practitioner concerning his 18 year old female step daughter who in 2007 was vaccinated with the third dose of Gardasil. Concomitant medication was not reported. Nurse practitioner reported that the patient compl"eted the series and did not experience a reaction with dose one or two. In 2007 within 24 hours of receiving the third vaccination of Gardasil, the patient experienced nausea and vomiting. The patient sought unspecified medical attention. Subsequently on


Changed on 12/8/2009

279522 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
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, Vomiting, No reaction on previous exposure to drug

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0704USA04642

Write-up:Information has been received from a nurse practitioner concerning his 18 year old female step daughter who in 2007 was vaccinated with the third dose of Gardasil. Concomitant medication was not reported. Nurse practitioner reported that the patient compl"eted completed the series and did not experience a reaction with dose one or two. In 2007 within 24 hours of receiving the third vaccination of Gardasil, the patient experienced nausea and vomiting. The patient sought unspecified medical attention. Subsequently on an unspecified date, the patient recovered from nausea and vomiting. Additional information has been requested.


Changed on 9/14/2017

279522 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
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, Vomiting, No reaction on previous exposure to drug

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA04642

Write-up:Information has been received from a nurse practitioner concerning his 18 year old female step daughter who in 2007 was vaccinated with the third dose of Gardasil. Concomitant medication was not reported. Nurse practitioner reported that the patient completed the series and did not experience a reaction with dose one or two. In 2007 within 24 hours of receiving the third vaccination of Gardasil, the patient experienced nausea and vomiting. The patient sought unspecified medical attention. Subsequently on an unspecified date, the patient recovered from nausea and vomiting. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279522&WAYBACKHISTORY=ON


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