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This is VAERS ID 279652

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279652
VAERS Form:
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-27
Onset:2007-04-28
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Depression, Fatigue

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a nurse concerning a 26 year old female patient who on 27-APR-2007 was vaccinated IM with a 0.5 ml first dose Gardasil. There was no concomitant medication. Since 28-APR-2007 the patient felt depressed and fatigued. Unsp"ecified medical attention was sought. Additional information has been requested.


Changed on 12/8/2009

279652 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-27
Onset:2007-04-28
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Depression, Fatigue

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0705USA00058

Write-up:Information has been received from a nurse concerning a 26 year old female patient who on 27-APR-2007 was vaccinated IM with a 0.5 ml first dose Gardasil. There was no concomitant medication. Since 28-APR-2007 the patient felt depressed and fatigued. Unsp"ecified Unspecified medical attention was sought. Additional information has been requested.


Changed on 9/14/2017

279652 Before After
VAERS Form:(blank) 1
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-27
Onset:2007-04-28
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Depression, Fatigue

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00058

Write-up:Information has been received from a nurse concerning a 26 year old female patient who on 27-APR-2007 was vaccinated IM with a 0.5 ml first dose Gardasil. There was no concomitant medication. Since 28-APR-2007 the patient felt depressed and fatigued. Unspecified medical attention was sought. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279652&WAYBACKHISTORY=ON


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