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This is VAERS ID 283966

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 283966
VAERS Form:
Age:19.0
Gender:Female
Location:California
Vaccinated:2007-04-16
Onset:2007-04-16
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0314U / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cough, Headache, Hypersensitivity, Throat irritation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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': WAES0705USA02910

Write-up: Information has been received from a physician concerning a 19 year old female who on 16-APR-2007 was vaccinated with Gardasil (Lot #657005/0314U). On 16-APR-2007 the patient experienced a cough, headache and itchy throat for two weeks after vaccination. The patient saw her primary care physician who diagnosed her with allergies and possible bronchitis. The patient was treated with loratadine (CLARITIN) and amoxicillin. Medical attention was sought. The patient''s outcome was not reported. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 283966 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:California
Vaccinated:2007-04-16
Onset:2007-04-16
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0314U / - UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cough, Headache, Hypersensitivity, Throat irritation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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': WAES0705USA02910

Write-up: Information has been received from a physician concerning a 19 year old female who on 16-APR-2007 was vaccinated with Gardasil (Lot #657005/0314U). On 16-APR-2007 the patient experienced a cough, headache and itchy throat for two weeks after vaccination. The patient saw her primary care physician who diagnosed her with allergies and possible bronchitis. The patient was treated with loratadine (CLARITIN) and amoxicillin. Medical attention was sought. The patient''s outcome was not reported. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 283966 Before After
VAERS Form:1
Age:19.0
Gender:Female
Location:California
Vaccinated:2007-04-16
Onset:2007-04-16
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0314U / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cough, Headache, Hypersensitivity, Throat irritation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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': WAES0705USA02910

Write-up: Information has been received from a physician concerning a 19 year old female who on 16-APR-2007 was vaccinated with Gardasil (Lot #657005/0314U). On 16-APR-2007 the patient experienced a cough, headache and itchy throat for two weeks after vaccination. The patient saw her primary care physician who diagnosed her with allergies and possible bronchitis. The patient was treated with loratadine (CLARITIN) and amoxicillin. Medical attention was sought. The patient''s outcome was not reported. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 283966 Before After
VAERS Form:1
Age:19.0
Gender:Female
Location:California
Vaccinated:2007-04-16
Onset:2007-04-16
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0314U / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cough, Headache, Hypersensitivity, Throat irritation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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': WAES0705USA02910

Write-up: Information has been received from a physician concerning a 19 year old female who on 16-APR-2007 was vaccinated with Gardasil (Lot #657005/0314U). On 16-APR-2007 the patient experienced a cough, headache and itchy throat for two weeks after vaccination. The patient saw her primary care physician who diagnosed her with allergies and possible bronchitis. The patient was treated with loratadine (CLARITIN) and amoxicillin. Medical attention was sought. The patient''s outcome was not reported. Additional information has been requested.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283966&WAYBACKHISTORY=ON


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