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This is VAERS ID 283941

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283941
VAERS Form:
Age:13.0
Gender:Female
Location:Unknown
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. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Nausea, 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: Unknown
CDC 'Split Type': WAES0705USA02309

Write-up:Information has been received from a consumer concerning a 13 year old female who, on an unspecified date, was vaccinated with Gardasil. Subsequently the patient experienced nausea, a slight fever and dizziness. The reporting consumer felt that the nausea, slight fever and dizziness were related to therapy with Gardasil. Additional information has been requested.


Changed on 9/14/2017

283941 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Unknown
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. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Nausea, 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: Unknown
CDC 'Split Type': WAES0705USA02309

Write-up:Information has been received from a consumer concerning a 13 year old female who, on an unspecified date, was vaccinated with Gardasil. Subsequently the patient experienced nausea, a slight fever and dizziness. The reporting consumer felt that the nausea, slight fever and dizziness were related to therapy with Gardasil. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283941&WAYBACKHISTORY=ON


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