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This is VAERS ID 283841

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

283841
VAERS Form:
Age:16.0
Gender:Female
Location:West Virginia
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-20
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: No adverse effect, Incorrect dose administered

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:
Current Illness: none
Preexisting Conditions: No allergies
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:No adverse event occurred. Advised by CDC phone contact to report that she had received additional vaccine at another facility.


Changed on 12/8/2009

283841 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:West Virginia
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-20
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: No adverse effect, Incorrect dose administered

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:
Current Illness: none
Preexisting Conditions: No allergies
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:No adverse event occurred. Advised by CDC phone contact to report that she had received additional vaccine at another facility.


Changed on 9/14/2017

283841 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:West Virginia
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-20
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: No adverse effect, Incorrect dose administered

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:
Current Illness: none
Preexisting Conditions: No allergies
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:No adverse event occurred. Advised by CDC phone contact to report that she had received additional vaccine at another facility.


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