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This is VAERS ID 284138

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

284138
VAERS Form:
Age:
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. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Herpes zoster

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: None
CDC 'Split Type': WAES0705USA03191

Write-up:Information has been received from a physicians assistant concerning a female who "a couple of weeks ago" was vaccinated with her first dose of Gardasil. Subsequently the patient experienced shingles 2 or 3 days after vaccination. Unspecified medical attention was sought. There were no diagnostic or laboratory tests performed. Additional information has been requested.


Changed on 9/14/2017

284138 Before After
VAERS Form:(blank) 1
Age:
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. - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Herpes zoster

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: None
CDC 'Split Type': WAES0705USA03191

Write-up:Information has been received from a physicians assistant concerning a female who "a couple of weeks ago" was vaccinated with her first dose of Gardasil. Subsequently the patient experienced shingles 2 or 3 days after vaccination. Unspecified medical attention was sought. There were no diagnostic or laboratory tests performed. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284138&WAYBACKHISTORY=ON


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