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This is VAERS ID 283795

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 283795
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-05
Onset:2007-02-19
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: Vision blurred, Visual acuity tests abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DEPO-PROVERA
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: visual acuity test, 02/19?/07, negative 600; visual acuity test, 05?/??/07, negative 700
CDC 'Split Type': WAES0705USA01751

Write-up:Information has been received from a health professional concerning a 24 year old female who on 05-FEB-2007 was vaccinated with Gardasil. Concomitant therapy included DEPO-PROVERA. On approximately 19-FEB-2007 the patient experienced blurry vision. The patient''s vision "was negative 600 and is now negative 700." The nurse practitioner reported that Gardasil would not be reintroduced. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 283795 Before After
Age:24.0 23.0
Gender:Female
Location:Unknown Kentucky
Vaccinated:2007-02-05
Onset:2007-02-19
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 1427F / - 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Vision blurred, Visual acuity tests abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DEPO-PROVERA 0
Current Illness:
Preexisting Conditions: Unknown ASTHMA
Diagnostic Lab Data: visual acuity test, 02/19?/07, negative 600; visual acuity test, 05?/??/07, negative 700
CDC 'Split Type': WAES0705USA01751

Write-up:Information has been received from a health professional concerning a 24 year old female who on 05-FEB-2007 was vaccinated with Gardasil. Concomitant therapy included DEPO-PROVERA. On approximately 19-FEB-2007 the patient experienced blurry vision. The patient''s vision "was negative 600 and is now negative 700." The nurse practitioner reported that Gardasil would not be reintroduced. Additional information has been requested. This is in follow-up to reports previously submitted on 06/14/2007. Initial and follow-u information has been received from a health professional concerning a 24 year old female with a history of and no illness at the time of vaccination who on 05-FEB-2007 was vaccinated at 16:20 in the right arm with a first dose of GARDASIL (lot # 655619/1427F). Concomitant vaccinations included a fifth dose of DEPO-PROVERA (Lot # 06P601) in the left arm. On approximately 19-FEB-2007 the patient experienced blurry vision in the left eye even with contacts and glasses. The patient saw an eye doctor and her vision for the past two years was negative 600 and is now negative 700. The nurse practioner reported that GARDASIL would not be reintroduced. At the time of this report, the patient had not recovered. Additional information is not expected.


Changed on 4/7/2010

VAERS ID: 283795 Before After
Age:23.0
Gender:Female
Location:Kentucky
Vaccinated:2007-02-05
Onset:2007-02-19
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Vision blurred, Visual acuity tests abnormal, Corrective lens user

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DEPO-PROVERA 0
Current Illness:
Preexisting Conditions: ASTHMA
Diagnostic Lab Data: visual acuity test, 02/19?/07, negative 600; visual acuity test, 05?/??/07, negative 700
CDC 'Split Type': WAES0705USA01751

Write-up:Information has been received from a health professional concerning a 24 year old female who on 05-FEB-2007 was vaccinated with Gardasil. Concomitant therapy included DEPO-PROVERA. On approximately 19-FEB-2007 the patient experienced blurry vision. The patient''s vision "was negative 600 and is now negative 700." The nurse practitioner reported that Gardasil would not be reintroduced. Additional information has been requested. This is in follow-up to reports previously submitted on 06/14/2007. Initial and follow-u information has been received from a health professional concerning a 24 year old female with a history of and no illness at the time of vaccination who on 05-FEB-2007 was vaccinated at 16:20 in the right arm with a first dose of GARDASIL (lot # 655619/1427F). Concomitant vaccinations included a fifth dose of DEPO-PROVERA (Lot # 06P601) in the left arm. On approximately 19-FEB-2007 the patient experienced blurry vision in the left eye even with contacts and glasses. The patient saw an eye doctor and her vision for the past two years was negative 600 and is now negative 700. The nurse practioner reported that GARDASIL would not be reintroduced. At the time of this report, the patient had not recovered. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 283795 Before After
Age:23.0
Gender:Female
Location:Kentucky
Vaccinated:2007-02-05
Onset:2007-02-19
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Vision blurred, Visual acuity tests abnormal, Corrective lens user

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DEPO-PROVERA 0
Current Illness:
Preexisting Conditions: ASTHMA
Diagnostic Lab Data: visual acuity test, 02/19?/07, negative 600; visual acuity test, 05?/??/07, negative 700
CDC 'Split Type': WAES0705USA01751

Write-up:Information has been received from a health professional concerning a 24 year old female who on 05-FEB-2007 was vaccinated with Gardasil. Concomitant therapy included DEPO-PROVERA. On approximately 19-FEB-2007 the patient experienced blurry vision. The patient''s vision "was negative 600 and is now negative 700." The nurse practitioner reported that Gardasil would not be reintroduced. Additional information has been requested. This is in follow-up to reports previously submitted on 06/14/2007. Initial and follow-u information has been received from a health professional concerning a 24 year old female with a history of and no illness at the time of vaccination who on 05-FEB-2007 was vaccinated at 16:20 in the right arm with a first dose of GARDASIL (lot # 655619/1427F). Concomitant vaccinations included a fifth dose of DEPO-PROVERA (Lot # 06P601) in the left arm. On approximately 19-FEB-2007 the patient experienced blurry vision in the left eye even with contacts and glasses. The patient saw an eye doctor and her vision for the past two years was negative 600 and is now negative 700. The nurse practioner reported that GARDASIL would not be reintroduced. At the time of this report, the patient had not recovered. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 283795 Before After
Age:23.0
Gender:Female
Location:Kentucky
Vaccinated:2007-02-05
Onset:2007-02-19
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Vision blurred, Visual acuity tests abnormal, Corrective lens user

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DEPO-PROVERA 0
Current Illness:
Preexisting Conditions: ASTHMA
Diagnostic Lab Data: visual acuity test, 02/19?/07, negative 600; visual acuity test, 05?/??/07, negative 700
CDC 'Split Type': WAES0705USA01751

Write-up:Information has been received from a health professional concerning a 24 year old female who on 05-FEB-2007 was vaccinated with Gardasil. Concomitant therapy included DEPO-PROVERA. On approximately 19-FEB-2007 the patient experienced blurry vision. The patient''s vision "was negative 600 and is now negative 700." The nurse practitioner reported that Gardasil would not be reintroduced. Additional information has been requested. This is in follow-up to reports previously submitted on 06/14/2007. Initial and follow-u information has been received from a health professional concerning a 24 year old female with a history of and no illness at the time of vaccination who on 05-FEB-2007 was vaccinated at 16:20 in the right arm with a first dose of GARDASIL (lot # 655619/1427F). Concomitant vaccinations included a fifth dose of DEPO-PROVERA (Lot # 06P601) in the left arm. On approximately 19-FEB-2007 the patient experienced blurry vision in the left eye even with contacts and glasses. The patient saw an eye doctor and her vision for the past two years was negative 600 and is now negative 700. The nurse practioner reported that GARDASIL would not be reintroduced. At the time of this report, the patient had not recovered. Additional information is not expected.


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