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This is VAERS ID 281957

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

281957
VAERS Form:
Age:25.0
Gender:Female
Location:Missouri
Vaccinated:2007-02-02
Onset:2007-02-02
Submitted:2007-06-15
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03840 / - - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Dyspnoea

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

Write-up:Patient complained of shortness of breath after 1st shot. SOB lasted 2-3 minutes with no rash or swelling. We are delaying 2nd shot until our Medical Director reviews the chart.


Changed on 12/8/2009

281957 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:Missouri
Vaccinated:2007-02-02
Onset:2007-02-02
Submitted:2007-06-15
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03840 / - - / IM

Administered by: Public      Purchased by: Unknown Private
Symptoms: Dyspnoea

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

Write-up:Patient complained of shortness of breath after 1st shot. SOB lasted 2-3 minutes with no rash or swelling. We are delaying 2nd shot until our Medical Director reviews the chart.


Changed on 9/14/2017

281957 Before After
VAERS Form:(blank) 1
Age:25.0
Gender:Female
Location:Missouri
Vaccinated:2007-02-02
Onset:2007-02-02
Submitted:2007-06-15
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03840 / - UNK - / IM

Administered by: Public      Purchased by: Private
Symptoms: Dyspnoea

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

Write-up:Patient complained of shortness of breath after 1st shot. SOB lasted 2-3 minutes with no rash or swelling. We are delaying 2nd shot until our Medical Director reviews the chart.


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