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This is VAERS ID 279524

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279524
Age:16.0
Gender:Female
Location:Missouri
Vaccinated:2007-04-06
Onset:2007-04-06
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Influenza like illness, Nausea

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

Write-up:Information has been received from a physician concerning a 16 year old female who on approximately 06-APR-2007 was vaccinated with the third dose of Gardasil and experienced flu like symptoms and nausea. Subsequently, the patient recovered from flu like"symptoms and nausea. Medical attention was sought. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 279524 Before After
Age:16.0
Gender:Female
Location:Missouri
Vaccinated:2007-04-06
Onset:2007-04-06
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Influenza like illness, Nausea

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA04710

Write-up:Information has been received from a physician concerning a 16 year old female who on approximately 06-APR-2007 was vaccinated with the third dose of Gardasil and experienced flu like symptoms and nausea. Subsequently, the patient recovered from flu like"symptoms like symptoms and nausea. Medical attention was sought. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 279524 Before After
Age:16.0 15.0
Gender:Female
Location:Missouri
Vaccinated:2007-04-06
Onset:2007-04-06
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Nausea

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA04710

Write-up:Information has been received from a physician concerning a 15 year old, (previously reported as a 16 year old old), white female student, who on approximately 06-APR-2007 09-AUG-2006 in the pm. was vaccinated with the first dose of Gardasil in the right arm. On 03-NOV-2006 in the pm. was vaccinated with the second dose of Gardasil in the left arm. On 23-FEB-2007 in the pm. was vaccinated with the third dose of Gardasil in the right arm (previously reported left arm) it was reported at the time of the vaccine the patient had nausea and experienced flu like symptoms and nausea. Subsequently, severe malaise. Unspecified medical attention was sought. On approximately 27-APR-2007, the patient recovered from flu like symptoms extreme nausea, and nausea. Medical attention was sought. severe malaise. Additional information has been requested. is not expected.


Changed on 3/2/2010

VAERS ID: 279524 Before After
Age:15.0
Gender:Female
Location:Missouri
Vaccinated:2007-04-06
Onset:2007-04-06
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other Private      Purchased by: Other
Symptoms: Influenza like illness, Nausea

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA04710

Write-up:Information has been received from a physician concerning a 15 year old, (previously reported as a 16 year old), white female student, who on 09-AUG-2006 in the pm. was vaccinated with the first dose of Gardasil in the right arm. On 03-NOV-2006 in the pm. was vaccinated with the second dose of Gardasil in the left arm. On 23-FEB-2007 in the pm. was vaccinated with the third dose of Gardasil in the right arm (previously reported left arm) it was reported at the time of the vaccine the patient had nausea and severe malaise. Unspecified medical attention was sought. On approximately 27-APR-2007, the patient recovered from flu like symptoms extreme nausea, and severe malaise. Additional information is not expected.


Changed on 7/31/2010

VAERS ID: 279524 Before After
Age:15.0
Gender:Female
Location:Missouri
Vaccinated:2007-04-06
Onset:2007-04-06
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Influenza like illness, Malaise, Nausea

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA04710

Write-up:Information has been received from a physician concerning a 15 year old, (previously reported as a 16 year old), white female student, who on 09-AUG-2006 in the pm. was vaccinated with the first dose of Gardasil in the right arm. On 03-NOV-2006 in the pm. was vaccinated with the second dose of Gardasil in the left arm. On 23-FEB-2007 in the pm. was vaccinated with the third dose of Gardasil in the right arm (previously reported left arm) it was reported at the time of the vaccine the patient had nausea and severe malaise. Unspecified medical attention was sought. On approximately 27-APR-2007, the patient recovered from flu like symptoms extreme nausea, and severe malaise. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 279524 Before After
Age:15.0
Gender:Female
Location:Missouri
Vaccinated:2007-04-06
Onset:2007-04-06
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Influenza like illness, Malaise, Nausea

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA04710

Write-up:Information has been received from a physician concerning a 15 year old, (previously reported as a 16 year old), white female student, who on 09-AUG-2006 in the pm. was vaccinated with the first dose of Gardasil in the right arm. On 03-NOV-2006 in the pm. was vaccinated with the second dose of Gardasil in the left arm. On 23-FEB-2007 in the pm. was vaccinated with the third dose of Gardasil in the right arm (previously reported left arm) it was reported at the time of the vaccine the patient had nausea and severe malaise. Unspecified medical attention was sought. On approximately 27-APR-2007, the patient recovered from flu like symptoms extreme nausea, and severe malaise. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 279524 Before After
Age:15.0
Gender:Female
Location:Missouri
Vaccinated:2007-04-06
Onset:2007-04-06
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Influenza like illness, Malaise, Nausea

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA04710

Write-up:Information has been received from a physician concerning a 15 year old, (previously reported as a 16 year old), white female student, who on 09-AUG-2006 in the pm. was vaccinated with the first dose of Gardasil in the right arm. On 03-NOV-2006 in the pm. was vaccinated with the second dose of Gardasil in the left arm. On 23-FEB-2007 in the pm. was vaccinated with the third dose of Gardasil in the right arm (previously reported left arm) it was reported at the time of the vaccine the patient had nausea and severe malaise. Unspecified medical attention was sought. On approximately 27-APR-2007, the patient recovered from flu like symptoms extreme nausea, and severe malaise. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279524&WAYBACKHISTORY=ON


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