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This is VAERS ID 282771

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282771
VAERS Form:
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-01-16
Onset:2007-01-16
Submitted:2007-06-18
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHANB124BA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Wheezing, Vaccine positive rechallenge

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: Albuterol M 02 prn
Current Illness: none
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Significant exacerbation of wheezing. Pt had 2nd HPV 6/12/07 - Merck 0587V. Similar symptoms.


Changed on 12/8/2009

282771 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-01-16
Onset:2007-01-16
Submitted:2007-06-18
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHANB124BA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Wheezing, Vaccine positive rechallenge

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: Albuterol M 02 prn
Current Illness: none
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Significant exacerbation of wheezing. Pt had 2nd HPV 6/12/07 - Merck 0587V. Similar symptoms.


Changed on 9/14/2017

282771 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-01-16
Onset:2007-01-16
Submitted:2007-06-18
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHANB124BA / 0 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Wheezing, Vaccine positive rechallenge

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: Albuterol M 02 prn
Current Illness: none
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Significant exacerbation of wheezing. Pt had 2nd HPV 6/12/07 - Merck 0587V. Similar symptoms.


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