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This is VAERS ID 279688

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279688
VAERS Form:
Age:
Gender:Female
Location:Wisconsin
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 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Bacterial 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Bacterial infection
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female who was vaccinated on an unspecified date with a dose of Gardasil. Subsequently, the patient experienced a bacterial infection. The outcome was not reported. The patient''''s sister''''s exper"ience with Gardasil was reported in WAES#0704USA02596. Additional information was been requested.


Changed on 12/8/2009

279688 Before After
VAERS Form:
Age:
Gender:Female
Location:Wisconsin
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 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Bacterial 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Bacterial infection
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0705USA01566

Write-up:Information has been received from a physician concerning a female who was vaccinated on an unspecified date with a dose of Gardasil. Subsequently, the patient experienced a bacterial infection. The outcome was not reported. The patient''''s sister''''s exper"ience patient''s sister''s experience with Gardasil was reported in WAES#0704USA02596. Additional information was been requested.


Changed on 9/14/2017

279688 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Wisconsin
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 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Bacterial 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Bacterial infection
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01566

Write-up:Information has been received from a physician concerning a female who was vaccinated on an unspecified date with a dose of Gardasil. Subsequently, the patient experienced a bacterial infection. The outcome was not reported. The patient''s sister''s experience with Gardasil was reported in WAES#0704USA02596. Additional information was been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279688&WAYBACKHISTORY=ON


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