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This is VAERS ID 282701

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282701
VAERS Form:
Age:15.0
Gender:Female
Location:California
Vaccinated:2007-05-17
Onset:2007-05-18
Submitted:2007-05-18
Entered:2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Blood glucose increased, Fatigue, Hyperventilation, Livedo reticularis, Peripheral coldness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Benzyl peroxide, Retin-A
Current Illness: Acne
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Random blood sugar = 109
CDC 'Split Type':

Write-up:Patient developed hyperventilation; cold, mottled hands. Normal vital signs normal blood sugar. Halfway through Albuterol treatment, patient looked tired ---$g sent to ER via EMS.


Changed on 12/8/2009

282701 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:California
Vaccinated:2007-05-17
Onset:2007-05-18
Submitted:2007-05-18
Entered:2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 LA / -

Administered by: Private      Purchased by: Unknown Public
Symptoms: Blood glucose increased, Fatigue, Hyperventilation, Livedo reticularis, Peripheral coldness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Benzyl peroxide, Retin-A
Current Illness: Acne
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Random blood sugar = 109
CDC 'Split Type': (blank) CA070023

Write-up:Patient developed hyperventilation; cold, mottled hands. Normal vital signs normal blood sugar. Halfway through Albuterol treatment, patient looked tired ---$g sent to ER via EMS.


Changed on 9/14/2017

282701 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:California
Vaccinated:2007-05-17
Onset:2007-05-18
Submitted:2007-05-18
Entered:2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 1 LA / -

Administered by: Private      Purchased by: Public
Symptoms: Blood glucose increased, Fatigue, Hyperventilation, Livedo reticularis, Peripheral coldness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Benzyl peroxide, Retin-A
Current Illness: Acne
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Random blood sugar = 109
CDC 'Split Type': CA070023

Write-up:Patient developed hyperventilation; cold, mottled hands. Normal vital signs normal blood sugar. Halfway through Albuterol treatment, patient looked tired ---$g sent to ER via EMS.


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