National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 281728

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

281728
VAERS Form:
Age:16.0
Gender:Female
Location:Iowa
Vaccinated:2007-06-12
Onset:2007-06-13
Submitted:2007-06-14
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHBVB301AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2609AA / 0 RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Nausea, Pyrexia, Vomiting

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:
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Fever of 102.4 F 1 day after shots nausea and vomiting 1 day after shot. CT feels alot better on 6/14 -2 days after shots with no fever then.


Changed on 12/8/2009

281728 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Iowa
Vaccinated:2007-06-12
Onset:2007-06-13
Submitted:2007-06-14
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHBVB301AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2609AA / 0 RA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Nausea, Pyrexia, Vomiting

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:
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Fever of 102.4 F 1 day after shots nausea and vomiting 1 day after shot. CT feels alot better on 6/14 -2 days after shots with no fever then.


Changed on 9/14/2017

281728 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Iowa
Vaccinated:2007-06-12
Onset:2007-06-13
Submitted:2007-06-14
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHBVB301AA / 0 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2609AA / 0 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Nausea, Pyrexia, Vomiting

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:
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Fever of 102.4 F 1 day after shots nausea and vomiting 1 day after shot. CT feels alot better on 6/14 -2 days after shots with no fever then.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281728&WAYBACKHISTORY=ON


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