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This is VAERS ID 279655

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279655
VAERS Form:
Age:19.0
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:2007-04-16
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Urinary tract infection

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 physician via a company representative concerning a 19 year old female patient who was vaccinated with 0.5 ml second dose of Gardasil. Subsequently the patient experienced urinary tract infection. Unspecified medical a"ttention was sought. Additional information has been requested.


Changed on 12/8/2009

279655 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:2007-04-16
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Urinary tract infection

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) WAES0705USA00071

Write-up:Information has been received from a physician via a company representative concerning a 19 year old female patient who was vaccinated with 0.5 ml second dose of Gardasil. Subsequently the patient experienced urinary tract infection. Unspecified medical a"ttention attention was sought. Additional information has been requested.


Changed on 9/14/2017

279655 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:2007-04-16
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Urinary tract infection

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': WAES0705USA00071

Write-up:Information has been received from a physician via a company representative concerning a 19 year old female patient who was vaccinated with 0.5 ml second dose of Gardasil. Subsequently the patient experienced urinary tract infection. Unspecified medical attention was sought. Additional information has been requested.


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