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This is VAERS ID 283954

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283954
VAERS Form:
Age:24.0
Gender:Female
Location:Illinois
Vaccinated:2007-03-09
Onset:2007-03-09
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest pain, Diarrhoea, Nausea, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': WAES0705USA02663

Write-up:Information has been received from a health professional concerning a 24 year old female who on 09-MAR-2007 was vaccinated, IM 0.5 ml first dose, with Gardasil (lot# 657006/0188U). On 09-MAR-2007 the patient experienced nausea and diarrhea. On 12-MAR-2007 the patient experienced a rash on her chest and chest pain. Subsequently, the patient recovered from nausea, diarrhea, rash and chest pain. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 9/14/2017

283954 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Female
Location:Illinois
Vaccinated:2007-03-09
Onset:2007-03-09
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 1 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest pain, Diarrhoea, Nausea, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': WAES0705USA02663

Write-up:Information has been received from a health professional concerning a 24 year old female who on 09-MAR-2007 was vaccinated, IM 0.5 ml first dose, with Gardasil (lot# 657006/0188U). On 09-MAR-2007 the patient experienced nausea and diarrhea. On 12-MAR-2007 the patient experienced a rash on her chest and chest pain. Subsequently, the patient recovered from nausea, diarrhea, rash and chest pain. The patient sought unspecified medical attention. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283954&WAYBACKHISTORY=ON


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