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This is VAERS ID 283814

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283814
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2007-05-08
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Ear pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA02081

Write-up:Information has been received from a registered nurse concerning a female (age not reported) who on an unspecified date was vaccinated with the first dose of Gardasil. Concomitant medication was not reported. The evening of 08-MAY-2007, the patient experienced fever. On 09-MAY-2007, the patient experienced ear ache but was afebrile. The patient sought unspecified medical attention. The outcome of the event was not reported. Additional information has been requested.


Changed on 9/14/2017

283814 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2007-05-08
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Ear pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA02081

Write-up:Information has been received from a registered nurse concerning a female (age not reported) who on an unspecified date was vaccinated with the first dose of Gardasil. Concomitant medication was not reported. The evening of 08-MAY-2007, the patient experienced fever. On 09-MAY-2007, the patient experienced ear ache but was afebrile. The patient sought unspecified medical attention. The outcome of the event was not reported. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283814&WAYBACKHISTORY=ON


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