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This is VAERS ID 279539

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279539
Age:15.0
Gender:Female
Location:Missouri
Vaccinated:2007-03-09
Onset:2007-03-09
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, via a company representative, concerning the physician''''s daughter, age 15 or 16 years, who on approximately 09-MAR-2007 (/"about six weeks ago/") was vaccinated, IM, with the third dose Gardasil. The physic"ian reported that following the vaccination, his daughter experienced flu-like symptoms and nausea, that lasted for three days after the vaccine had been administered, approximately 12-MAR-2007. The physician confirmed that following the three days, his d


Changed on 12/8/2009

VAERS ID: 279539 Before After
Age:15.0
Gender:Female
Location:Missouri
Vaccinated:2007-03-09
Onset:2007-03-09
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) WAES0704USA05005

Write-up:Information has been received from a physician, via a company representative, concerning the physician''''s physician''s daughter, age 15 or 16 years, who on approximately 09-MAR-2007 (/"about ("about six weeks ago/") ago") was vaccinated, IM, with the third dose Gardasil. The physic"ian physician reported that following the vaccination, his daughter experienced flu-like symptoms and nausea, that lasted for three days after the vaccine had been administered, approximately 12-MAR-2007. The physician confirmed that following the three days, his d daughter was "fine." The patient''s sister also experienced flu-like symptoms and nausea after vaccination with Gardasil (WAES#0704USA04661). Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 279539 Before After
Age:15.0 14.0
Gender:Female
Location:Missouri
Vaccinated:2007-03-09
Onset:2007-03-09
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': WAES0704USA05005

Write-up:This is in follow-up to report (s) previously submitted on 5/14/2007. Information has been received from a physician, via a company representative, concerning the physician''s daughter, age 15 or 16 years, who on approximately 09-MAR-2007 ("about six weeks ago") was vaccinated, IM, with the third dose Gardasil. The physician reported that following the vaccination, his daughter experienced flu-like symptoms and nausea, that lasted for three days after the vaccine had been administered, approximately 12-MAR-2007. The physician confirmed that following the three days, his daughter was "fine." The patient''s sister also experienced flu-like symptoms and nausea after vaccination with Gardasil (WAES#0704USA04661). Additional information has been requested. Initial and follow up information has been received from a physician, concerning his 14 year old daughter, who on 31-JUL-2006, was vaccinated with the first dose of GARDASIL, on 23-OCT-2006, with the second dose of GARDASIL, and on 06-APR-2007, was vaccinated, IM, with the third dose of GARDASIL. The physician reported that on 07-APR-2007, the day following the vaccination, his daughter experienced flu-like symptoms, was extremely nauseated, and had severe malaise that lasted for three to four days after the vaccine had been administered, and then recovered (approximately 11-MAR-2007). The patient''s sister also experienced flu-like symptoms, nausea and malaise after vaccination with GARDASIL (WAES #0704USA04661). Additional information is not expected.


Changed on 4/7/2010

VAERS ID: 279539 Before After
Age:14.0
Gender:Female
Location:Missouri
Vaccinated:2007-03-09
Onset:2007-03-09
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, Vaccine positive rechallenge

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': WAES0704USA05005

Write-up:This is in follow-up to report (s) previously submitted on 5/14/2007. Information has been received from a physician, via a company representative, concerning the physician''s daughter, age 15 or 16 years, who on approximately 09-MAR-2007 ("about six weeks ago") was vaccinated, IM, with the third dose Gardasil. The physician reported that following the vaccination, his daughter experienced flu-like symptoms and nausea, that lasted for three days after the vaccine had been administered, approximately 12-MAR-2007. The physician confirmed that following the three days, his daughter was "fine." The patient''s sister also experienced flu-like symptoms and nausea after vaccination with Gardasil (WAES#0704USA04661). Additional information has been requested. Initial and follow up information has been received from a physician, concerning his 14 year old daughter, who on 31-JUL-2006, was vaccinated with the first dose of GARDASIL, on 23-OCT-2006, with the second dose of GARDASIL, and on 06-APR-2007, was vaccinated, IM, with the third dose of GARDASIL. The physician reported that on 07-APR-2007, the day following the vaccination, his daughter experienced flu-like symptoms, was extremely nauseated, and had severe malaise that lasted for three to four days after the vaccine had been administered, and then recovered (approximately 11-MAR-2007). The patient''s sister also experienced flu-like symptoms, nausea and malaise after vaccination with GARDASIL (WAES #0704USA04661). Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 279539 Before After
Age:14.0
Gender:Female
Location:Missouri
Vaccinated:2007-03-09
Onset:2007-03-09
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, Vaccine positive rechallenge

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': WAES0704USA05005

Write-up:This is in follow-up to report (s) previously submitted on 5/14/2007. Information has been received from a physician, via a company representative, concerning the physician''s daughter, age 15 or 16 years, who on approximately 09-MAR-2007 ("about six weeks ago") was vaccinated, IM, with the third dose Gardasil. The physician reported that following the vaccination, his daughter experienced flu-like symptoms and nausea, that lasted for three days after the vaccine had been administered, approximately 12-MAR-2007. The physician confirmed that following the three days, his daughter was "fine." The patient''s sister also experienced flu-like symptoms and nausea after vaccination with Gardasil (WAES#0704USA04661). Additional information has been requested. Initial and follow up information has been received from a physician, concerning his 14 year old daughter, who on 31-JUL-2006, was vaccinated with the first dose of GARDASIL, on 23-OCT-2006, with the second dose of GARDASIL, and on 06-APR-2007, was vaccinated, IM, with the third dose of GARDASIL. The physician reported that on 07-APR-2007, the day following the vaccination, his daughter experienced flu-like symptoms, was extremely nauseated, and had severe malaise that lasted for three to four days after the vaccine had been administered, and then recovered (approximately 11-MAR-2007). The patient''s sister also experienced flu-like symptoms, nausea and malaise after vaccination with GARDASIL (WAES #0704USA04661). Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 279539 Before After
Age:14.0
Gender:Female
Location:Missouri
Vaccinated:2007-03-09
Onset:2007-03-09
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, Vaccine positive rechallenge

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': WAES0704USA05005

Write-up:This is in follow-up to report (s) previously submitted on 5/14/2007. Information has been received from a physician, via a company representative, concerning the physician''s daughter, age 15 or 16 years, who on approximately 09-MAR-2007 ("about six weeks ago") was vaccinated, IM, with the third dose Gardasil. The physician reported that following the vaccination, his daughter experienced flu-like symptoms and nausea, that lasted for three days after the vaccine had been administered, approximately 12-MAR-2007. The physician confirmed that following the three days, his daughter was "fine." The patient''s sister also experienced flu-like symptoms and nausea after vaccination with Gardasil (WAES#0704USA04661). Additional information has been requested. Initial and follow up information has been received from a physician, concerning his 14 year old daughter, who on 31-JUL-2006, was vaccinated with the first dose of GARDASIL, on 23-OCT-2006, with the second dose of GARDASIL, and on 06-APR-2007, was vaccinated, IM, with the third dose of GARDASIL. The physician reported that on 07-APR-2007, the day following the vaccination, his daughter experienced flu-like symptoms, was extremely nauseated, and had severe malaise that lasted for three to four days after the vaccine had been administered, and then recovered (approximately 11-MAR-2007). The patient''s sister also experienced flu-like symptoms, nausea and malaise after vaccination with GARDASIL (WAES #0704USA04661). Additional information is not expected.


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