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This is VAERS ID 279664

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279664
VAERS Form:
Age:
Gender:Female
Location:Unknown
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. - / 2 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Nausea, Pain, Vaccine positive rechallenge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female child (age not reported) who was the daughter of one of the reporting physician''''s patients. On unspecified dates, the patient was vaccinated with a first, second and third 0.5 mL dose of"Gardasil at her pediatrician''''s office. Subsequently the patient experienced pain after each of her three doses of Gardasil, progressively getting worse each time. After the third dose, the patient also experienced nausea and had to stay home from school.


Changed on 12/8/2009

279664 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
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. - / 2 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Nausea, Pain, Vaccine positive rechallenge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0705USA00160

Write-up:Information has been received from a physician concerning a female child (age not reported) who was the daughter of one of the reporting physician''''s physician''s patients. On unspecified dates, the patient was vaccinated with a first, second and third 0.5 mL dose of"Gardasil of Gardasil at her pediatrician''''s pediatrician''s office. Subsequently the patient experienced pain after each of her three doses of Gardasil, progressively getting worse each time. After the third dose, the patient also experienced nausea and had to stay home from school. Subsequently, the patient recovered from pain and nausea. Additional information has been requested.


Changed on 3/2/2010

279664 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
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. - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Nausea, Pain, Vaccine positive rechallenge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00160

Write-up:Information has been received from a physician concerning a female child (age not reported) who was the daughter of one of the reporting physician''s patients. On unspecified dates, the patient was vaccinated with a first, second and third 0.5 mL dose of Gardasil at her pediatrician''s office. Subsequently the patient experienced pain after each of her three doses of Gardasil, progressively getting worse each time. After the third dose, the patient also experienced nausea and had to stay home from school. Subsequently, the patient recovered from pain and nausea. Additional No additional information has been requested. is expected.


Changed on 6/14/2014

279664 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
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. - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Nausea, Pain, Vaccine positive rechallenge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00160

Write-up:Information has been received from a physician concerning a female child (age not reported) who was the daughter of one of the reporting physician''s patients. On unspecified dates, the patient was vaccinated with a first, second and third 0.5 mL dose of Gardasil at her pediatrician''s office. Subsequently the patient experienced pain after each of her three doses of Gardasil, progressively getting worse each time. After the third dose, the patient also experienced nausea and had to stay home from school. Subsequently, the patient recovered from pain and nausea. No additional information is expected.


Changed on 5/14/2017

279664 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
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. - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Nausea, Pain, Vaccine positive rechallenge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00160

Write-up:Information has been received from a physician concerning a female child (age not reported) who was the daughter of one of the reporting physician''s patients. On unspecified dates, the patient was vaccinated with a first, second and third 0.5 mL dose of Gardasil at her pediatrician''s office. Subsequently the patient experienced pain after each of her three doses of Gardasil, progressively getting worse each time. After the third dose, the patient also experienced nausea and had to stay home from school. Subsequently, the patient recovered from pain and nausea. No additional information is expected.


Changed on 9/14/2017

279664 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
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. - / 2 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Nausea, Pain, Vaccine positive rechallenge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00160

Write-up:Information has been received from a physician concerning a female child (age not reported) who was the daughter of one of the reporting physician''s patients. On unspecified dates, the patient was vaccinated with a first, second and third 0.5 mL dose of Gardasil at her pediatrician''s office. Subsequently the patient experienced pain after each of her three doses of Gardasil, progressively getting worse each time. After the third dose, the patient also experienced nausea and had to stay home from school. Subsequently, the patient recovered from pain and nausea. No additional information is expected.


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