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This is VAERS ID 279650

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279650
VAERS Form:
Age:
Gender:Female
Location:Tennessee
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. - / 0 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Fungal infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a physician via a company representative concerning a female patient who was vaccinated IM with a 0.5ml first and second dose of Gardasil. There was no concomitant medication. Subsequently the patient experienced a yeast"infection after each dose of the vaccination. It was noted that the patient recovered on therapy from both yeast infections. Unspecified medical attention was sought. Additional information has been requested.


Changed on 12/8/2009

279650 Before After
VAERS Form:
Age:
Gender:Female
Location:Tennessee
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. - / 0 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Fungal infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0705USA00045

Write-up:Information has been received from a physician via a company representative concerning a female patient who was vaccinated IM with a 0.5ml first and second dose of Gardasil. There was no concomitant medication. Subsequently the patient experienced a yeast"infection yeast infection after each dose of the vaccination. It was noted that the patient recovered on therapy from both yeast infections. Unspecified medical attention was sought. Additional information has been requested.


Changed on 3/2/2010

279650 Before After
VAERS Form:
Age:(blank) 17.0
Gender:Female
Location:Tennessee
Vaccinated:0000-00-00 2007-01-31
Onset:0000-00-00 2007-01-31
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0012U / 0 - UN / IM

Administered by: Unknown Private      Purchased by: Unknown Private
Symptoms: Fungal infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00045

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 a female patient who was vaccinated IM in the left arm with a 0.5ml first (lot #6550503/0012U) and On 30-MAR-2007 with a second dose (lot #657006/0188U) of Gardasil. GARDASIL vaccine. There was no concomitant medication. Subsequently the patient experienced a yeast infection after each dose of the vaccination. It was noted that the patient recovered on therapy from both yeast infections. Follow-up information was received from a certified medical assitant which indicated that the patietn experienced vaginal discharge on 11-JAN-2007. Unspecified medical attention was sought. Additional information has been requested.


Changed on 4/7/2010

279650 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Tennessee
Vaccinated:2007-01-31
Onset:2007-01-31
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Fungal infection, Vaginal discharge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00045

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 a female patient who was vaccinated IM in the left arm with a 0.5ml first (lot #6550503/0012U) and On 30-MAR-2007 with a second dose (lot #657006/0188U) of GARDASIL vaccine. There was no concomitant medication. Subsequently the patient experienced a yeast infection after each dose of the vaccination. It was noted that the patient recovered on therapy from both yeast infections. Follow-up information was received from a certified medical assitant which indicated that the patietn experienced vaginal discharge on 11-JAN-2007. Unspecified medical attention was sought. Additional information has been requested.


Changed on 6/14/2014

279650 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Tennessee
Vaccinated:2007-01-31
Onset:2007-01-31
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Fungal infection, Vaginal discharge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00045

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 a female patient who was vaccinated IM in the left arm with a 0.5ml first (lot #6550503/0012U) and On 30-MAR-2007 with a second dose (lot #657006/0188U) of GARDASIL vaccine. There was no concomitant medication. Subsequently the patient experienced a yeast infection after each dose of the vaccination. It was noted that the patient recovered on therapy from both yeast infections. Follow-up information was received from a certified medical assitant which indicated that the patietn experienced vaginal discharge on 11-JAN-2007. Unspecified medical attention was sought. Additional information has been requested.


Changed on 5/14/2017

279650 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Tennessee
Vaccinated:2007-01-31
Onset:2007-01-31
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Fungal infection, Vaginal discharge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00045

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 a female patient who was vaccinated IM in the left arm with a 0.5ml first (lot #6550503/0012U) and On 30-MAR-2007 with a second dose (lot #657006/0188U) of GARDASIL vaccine. There was no concomitant medication. Subsequently the patient experienced a yeast infection after each dose of the vaccination. It was noted that the patient recovered on therapy from both yeast infections. Follow-up information was received from a certified medical assitant which indicated that the patietn experienced vaginal discharge on 11-JAN-2007. Unspecified medical attention was sought. Additional information has been requested.


Changed on 9/14/2017

279650 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Tennessee
Vaccinated:2007-01-31
Onset:2007-01-31
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 1 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Fungal infection, Vaginal discharge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00045

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 a female patient who was vaccinated IM in the left arm with a 0.5ml first (lot #6550503/0012U) and On 30-MAR-2007 with a second dose (lot #657006/0188U) of GARDASIL vaccine. There was no concomitant medication. Subsequently the patient experienced a yeast infection after each dose of the vaccination. It was noted that the patient recovered on therapy from both yeast infections. Follow-up information was received from a certified medical assitant which indicated that the patietn experienced vaginal discharge on 11-JAN-2007. Unspecified medical attention was sought. Additional information has been requested.


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