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This is VAERS ID 283755

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283755
VAERS Form:
Age:
Gender:Female
Location:Washington
Vaccinated:2007-04-27
Onset:2007-04-29
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Asthma

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA00831

Write-up:Information has been received from a health care professional concerning her female co-worker, who on 27-APR-2007 was vaccinated with a dose, 0.5ml, IM of Gardasil. On 29-APR-2007, two days after the vaccination, the patient experienced an asthma attack, and visited the emergency room. The patient was not admitted to the hospital, and treatment was not specified. At the time of this report, it was unknown if the patient had recovered from the asthma attack. Additional information has been requested.


Changed on 9/14/2017

283755 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Washington
Vaccinated:2007-04-27
Onset:2007-04-29
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Asthma

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA00831

Write-up:Information has been received from a health care professional concerning her female co-worker, who on 27-APR-2007 was vaccinated with a dose, 0.5ml, IM of Gardasil. On 29-APR-2007, two days after the vaccination, the patient experienced an asthma attack, and visited the emergency room. The patient was not admitted to the hospital, and treatment was not specified. At the time of this report, it was unknown if the patient had recovered from the asthma attack. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283755&WAYBACKHISTORY=ON


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