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This is VAERS ID 279558

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279558
VAERS Form:
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-24
Onset:2007-04-24
Submitted:2007-05-14
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: Asthenia, Dizziness, Nausea, Somnolence

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: YASMIN, SARAFEM
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a 26 year old female with a history of asthma who on 24-APR-2007 was vaccinated with Gardasil. Concomitant therapy included Sarafem and Yasmin. On 24-APR-2007 the patient experienced stomach nausea. She also felt very we"ak and went to bed early. The following day she woke to feel very faint and again had stomach nausea. No further information was provided.


Changed on 12/8/2009

279558 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-24
Onset:2007-04-24
Submitted:2007-05-14
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: Asthenia, Dizziness, Nausea, Somnolence

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: YASMIN, SARAFEM
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA05712

Write-up:Information has been received from a 26 year old female with a history of asthma who on 24-APR-2007 was vaccinated with Gardasil. Concomitant therapy included Sarafem and Yasmin. On 24-APR-2007 the patient experienced stomach nausea. She also felt very we"ak weak and went to bed early. The following day she woke to feel very faint and again had stomach nausea. No further information was provided.


Changed on 9/14/2017

279558 Before After
VAERS Form:(blank) 1
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-24
Onset:2007-04-24
Submitted:2007-05-14
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: Asthenia, Dizziness, Nausea, Somnolence

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: YASMIN, SARAFEM
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA05712

Write-up:Information has been received from a 26 year old female with a history of asthma who on 24-APR-2007 was vaccinated with Gardasil. Concomitant therapy included Sarafem and Yasmin. On 24-APR-2007 the patient experienced stomach nausea. She also felt very weak and went to bed early. The following day she woke to feel very faint and again had stomach nausea. No further information was provided.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279558&WAYBACKHISTORY=ON


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