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This is VAERS ID 279680

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279680
Age:11.0
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. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Malaise

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a physician concerning an approximately 11 year old female who on an unspecified date was vaccinated with a dose of Gardasil. Concomitant medication was not reported. Subsequently on an unspecified date, two days after r"eceiving the Gardasil, the patient became ill. The reporting physician felt the event was not related to therapy with Gardasil. No further information is available.


Changed on 12/8/2009

VAERS ID: 279680 Before After
Age:11.0
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. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Malaise

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0705USA00771

Write-up:Information has been received from a physician concerning an approximately 11 year old female who on an unspecified date was vaccinated with a dose of Gardasil. Concomitant medication was not reported. Subsequently on an unspecified date, two days after r"eceiving receiving the Gardasil, the patient became ill. The reporting physician felt the event was not related to therapy with Gardasil. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279680&WAYBACKHISTORY=ON


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