National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 283936

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283936
VAERS Form:
Age:19.0
Gender:Female
Location:New York
Vaccinated:2007-05-08
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 / IM

Administered by: Other      Purchased by: Other
Symptoms: Headache, Lethargy, Lymphadenopathy, Pharyngolaryngeal pain

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: hormonal contraceptives
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA02220

Write-up:Information has been received from a nurse concerning a 19 year old female with no drug reactions/allergies and no reported medical history who on 08-MAY-2007 was vaccinated IM with the first dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified). On th evening of 08-MAY-2007 the patient experienced headache, sore throat, swollen glands and felt lethargic. She had no fever. The events persisted as of 10-MAY-2007. Additional information has been requested.


Changed on 9/14/2017

283936 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:New York
Vaccinated:2007-05-08
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 / IM

Administered by: Other      Purchased by: Other
Symptoms: Headache, Lethargy, Lymphadenopathy, Pharyngolaryngeal pain

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: hormonal contraceptives
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA02220

Write-up:Information has been received from a nurse concerning a 19 year old female with no drug reactions/allergies and no reported medical history who on 08-MAY-2007 was vaccinated IM with the first dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified). On th evening of 08-MAY-2007 the patient experienced headache, sore throat, swollen glands and felt lethargic. She had no fever. The events persisted as of 10-MAY-2007. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283936&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166