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This is VAERS ID 279542

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279542
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Immune system disorder, Malaise

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a licensed practical nurse concerning a female who was vaccinated with Gardasil. Subsequently the patient experienced that she was not feeling well. The patient''''s mother felt that the vaccine may have weakened her daugh"ter''''s immune system. it was reported that the patient sought unspecified medical attention. the patient had not yet recovered at the time of this report. Additional information has been requested.


Changed on 12/8/2009

279542 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Immune system disorder, Malaise

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA05185

Write-up:Information has been received from a licensed practical nurse concerning a female who was vaccinated with Gardasil. Subsequently the patient experienced that she was not feeling well. The patient''''s patient''s mother felt that the vaccine may have weakened her daugh"ter''''s daughter''s immune system. it was reported that the patient sought unspecified medical attention. the patient had not yet recovered at the time of this report. Additional information has been requested.


Changed on 9/14/2017

279542 Before After
VAERS Form:(blank) 1
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Immune system disorder, Malaise

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA05185

Write-up:Information has been received from a licensed practical nurse concerning a female who was vaccinated with Gardasil. Subsequently the patient experienced that she was not feeling well. The patient''s mother felt that the vaccine may have weakened her daughter''s immune system. it was reported that the patient sought unspecified medical attention. the patient had not yet recovered at the time of this report. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279542&WAYBACKHISTORY=ON


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