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This is VAERS ID 283781

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283781
VAERS Form:
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Blood bilirubin increased, Stomach discomfort

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: diagnostic laboratory, 02/??/07, high level of bilirubin
CDC 'Split Type': WAES0705USA01451

Write-up:Information has been received from a physician and a nurse concerning her 12 year old daughter who in early February 2007 was vaccinated IM with 0.5 ml of Gardasil. There was no concomitant medication. In early April 2007, the patient was vaccinated IM, in the left deltoid, with a second dose of Gardasil. A couple days after the patient''s second vaccination, she experienced "high abdominal pain" and an upset stomach. The patient was taken to the emergency room because the pain had not subsided however she was not admitted. She was diagnosed with a high level of bilirubin. Subsequently, she was treated with Zantac and recovered from the events. Additional information has been requested.


Changed on 9/14/2017

283781 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Blood bilirubin increased, Stomach discomfort

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: diagnostic laboratory, 02/??/07, high level of bilirubin
CDC 'Split Type': WAES0705USA01451

Write-up:Information has been received from a physician and a nurse concerning her 12 year old daughter who in early February 2007 was vaccinated IM with 0.5 ml of Gardasil. There was no concomitant medication. In early April 2007, the patient was vaccinated IM, in the left deltoid, with a second dose of Gardasil. A couple days after the patient''s second vaccination, she experienced "high abdominal pain" and an upset stomach. The patient was taken to the emergency room because the pain had not subsided however she was not admitted. She was diagnosed with a high level of bilirubin. Subsequently, she was treated with Zantac and recovered from the events. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283781&WAYBACKHISTORY=ON


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