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This is VAERS ID 282736

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282736
Age:17.0
Gender:Female
Location:North Carolina
Vaccinated:2007-05-23
Onset:2007-06-11
Submitted:2007-06-23
Entered:2007-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Back pain, Blood culture negative, Chest X-ray normal, Culture urine positive, Granulocyte count increased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data: Developed Urinary Tract infection that went to her kidneys and resulted in hospitalization for kidney infection.
CDC 'Split Type':

Write-up:Urinary tract infection moved into kidneys and caused kidney infection resulting in hospitalization and IV antibiotics.


Changed on 12/8/2009

VAERS ID: 282736 Before After
Age:17.0
Gender:Female
Location:North Carolina
Vaccinated:2007-05-23
Onset:2007-06-11
Submitted:2007-06-23
Entered:2007-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Back pain, Blood culture negative, Chest X-ray normal, Culture urine positive, Granulocyte count increased, Kidney infection, Lymphocyte count decreased, Monocyte count increased, Pyelonephritis, Pyrexia, Ultrasound kidney normal, Urinary tract infection, Vomiting, White blood cell count increased, Urine analysis abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data: Developed Urinary Tract infection that went to her kidneys and resulted in hospitalization for kidney infection. LABS: UA had 50-100 WBCs, c/s revealed gram neg bacilli. WBC max 31.4, granulos 89.2, monos 8.4, lymphs 5.8. Blood c/s was ne
CDC 'Split Type':

Write-up:Urinary tract infection moved into kidneys and caused kidney infection resulting in hospitalization and IV antibiotics. 7/6/07 Received hospital medical records which reveal patient experienced fever, back pain & vomiting while away from home on mission trip. Exam revealed bilat CVA tenderness. Admitted 6/22-6/23/07. D/C to f/u for outpatient oral antibiotics. FINAL DX: Pyelonephritis, resolving. 8/14/07 Received vax record which confirms HPV dose & lot # as reported.


Changed on 2/14/2017

VAERS ID: 282736 Before After
Age:17.0
Gender:Female
Location:North Carolina
Vaccinated:2007-05-23
Onset:2007-06-11
Submitted:2007-06-23
Entered:2007-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Back pain, Blood culture negative, Chest X-ray normal, Culture urine positive, Granulocyte count increased, Kidney infection, Lymphocyte count decreased, Monocyte count increased, Pyelonephritis, Pyrexia, Ultrasound kidney normal, Urinary tract infection, Vomiting, White blood cell count increased, Urine analysis abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data: Developed Urinary Tract infection that went to her kidneys and resulted in hospitalization for kidney infection. LABS: UA had 50-100 WBCs, c/s revealed gram neg bacilli. WBC max 31.4, granulos 89.2, monos 8.4, lymphs 5.8. Blood c/s was ne neg. CXR was WNL. Bilateral renal US was WNL.
CDC 'Split Type':

Write-up:Urinary tract infection moved into kidneys and caused kidney infection resulting in hospitalization and IV antibiotics. 7/6/07 Received hospital medical records which reveal patient experienced fever, back pain & vomiting while away from home on mission trip. Exam revealed bilat CVA tenderness. Admitted 6/22-6/23/07. D/C to f/u for outpatient oral antibiotics. FINAL DX: Pyelonephritis, resolving. 8/14/07 Received vax record which confirms HPV dose & lot # as reported.


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