National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 281035

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

281035
VAERS Form:
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-06-07
Onset:2007-06-07
Submitted:2007-06-08
Entered:2007-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011V / 0 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Eye pain, Headache, Nausea, Vomiting

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:
Current Illness: None
Preexisting Conditions: No known drug allergies
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Pt received Gardasil vaccine at 9AM. Called at 4PM complaining of nausea, vomiting, and left side headache with left orbital pain


Changed on 9/14/2017

281035 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-06-07
Onset:2007-06-07
Submitted:2007-06-08
Entered:2007-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011V / 0 1 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Eye pain, Headache, Nausea, Vomiting

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:
Current Illness: None
Preexisting Conditions: No known drug allergies
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Pt received Gardasil vaccine at 9AM. Called at 4PM complaining of nausea, vomiting, and left side headache with left orbital pain


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281035&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166