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This is VAERS ID 283744

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283744
VAERS Form:
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-06
Onset:2007-04-09
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chills, Diarrhoea, Hyperhidrosis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: YAZ
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00564

Write-up:Information has been received from a physician concerning a 16 year old female relative with no pertinent medical history or drug reactions/allergies, who on 06-APR-2007 was vaccinated with a first dose of Gardasil, 0.5 ml, intramuscularly. Concomitant therapy included (YAZ). On 09-APR-2007 the patient experienced sweats, chills and diarrhea. Since this initial episode the patient experienced three to four similar incidences. All of the incidences have occurred one hour after eating meat. No laboratory tests were performed. The patient''s sweats and chills and diarrhea after eating meat have persisted. Additional information has been requested.


Changed on 9/14/2017

283744 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-06
Onset:2007-04-09
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chills, Diarrhoea, Hyperhidrosis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: YAZ
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00564

Write-up:Information has been received from a physician concerning a 16 year old female relative with no pertinent medical history or drug reactions/allergies, who on 06-APR-2007 was vaccinated with a first dose of Gardasil, 0.5 ml, intramuscularly. Concomitant therapy included (YAZ). On 09-APR-2007 the patient experienced sweats, chills and diarrhea. Since this initial episode the patient experienced three to four similar incidences. All of the incidences have occurred one hour after eating meat. No laboratory tests were performed. The patient''s sweats and chills and diarrhea after eating meat have persisted. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283744&WAYBACKHISTORY=ON


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