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This is VAERS ID 284142

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284142
Age:13.0
Gender:Female
Location:Colorado
Vaccinated:2006-10-20
Onset:2007-01-08
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Pharyngitis, Viral pharyngitis, Streptococcus identification test negative

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol, SINGULAIR
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: Streptococcus oralis, 01/08/07, stret test and culture negative
CDC 'Split Type':

Write-up:Information has been received from a medical assistant concerning a 13 year old female patient with an amoxicillin allergy and no medical history, who on 20-OCT-2006 was vaccinated IM into the upper arm with a first dose of Gardasil (Lot# 653978/0955F). C"oncomitant therapy included montelukast sodium (MSD) and albuterol. It was reported that the patient got off recommended dosing schedule because she was sick. On 05-JAN-2007 the patient was diagnosed with pharyngitis (likely viral). The patient was told t


Changed on 12/8/2009

VAERS ID: 284142 Before After
Age:13.0
Gender:Female
Location:Colorado
Vaccinated:2006-10-20
Onset:2007-01-08
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Pharyngitis, Viral pharyngitis, Streptococcus identification test negative

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol, SINGULAIR
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: Streptococcus oralis, 01/08/07, stret test and culture negative
CDC 'Split Type': (blank) WAES0705USA03261

Write-up:Information has been received from a medical assistant concerning a 13 year old female patient with an amoxicillin allergy and no medical history, who on 20-OCT-2006 was vaccinated IM into the upper arm with a first dose of Gardasil (Lot# 653978/0955F). C"oncomitant Concomitant therapy included montelukast sodium (MSD) and albuterol. It was reported that the patient got off the recommended dosing schedule because she was sick. On 05-JAN-2007 the patient was diagnosed with pharyngitis (likely viral). The patient was told t to take zinc and homeopathic medicine called "INFLAMMATION by Heal." On 08-JAN-2007, laboratory diagnostic studies included a strep test and culture that was negative. On 12-JAN-2007, the patient was seen again and was diagnosed with pharyngitis and a possible ear infection and was given a homeopathic medicine called ("EUPHORIM"), a nasal spray. On 01-FEB-2007 the patient came in for a second dose of the vaccine (lot # 654702/0011U). It was reported that the patient no longer had an infection and subsequently recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 284142 Before After
Age:13.0
Gender:Female
Location:Colorado
Vaccinated:2006-10-20
Onset:2007-01-08
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Pharyngitis, Viral pharyngitis, Streptococcus identification test negative

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol, SINGULAIR
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: Streptococcus oralis, 01/08/07, stret test and culture negative
CDC 'Split Type': WAES0705USA03261

Write-up:Information has been received from a medical assistant concerning a 13 year old female patient with an amoxicillin allergy and no medical history, who on 20-OCT-2006 was vaccinated IM into the upper arm with a first dose of Gardasil (Lot# 653978/0955F). Concomitant therapy included montelukast sodium (MSD) and albuterol. It was reported that the patient got off the recommended dosing schedule because she was sick. On 05-JAN-2007 the patient was diagnosed with pharyngitis (likely viral). The patient was told to take zinc and homeopathic medicine called "INFLAMMATION by Heal." On 08-JAN-2007, laboratory diagnostic studies included a strep test and culture that was negative. On 12-JAN-2007, the patient was seen again and was diagnosed with pharyngitis and a possible ear infection and was given a homeopathic medicine called ("EUPHORIM"), a nasal spray. On 01-FEB-2007 the patient came in for a second dose of the vaccine (lot # 654702/0011U). It was reported that the patient no longer had an infection and subsequently recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 284142 Before After
Age:13.0
Gender:Female
Location:Colorado
Vaccinated:2006-10-20
Onset:2007-01-08
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Pharyngitis, Viral pharyngitis, Streptococcus identification test negative

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol, SINGULAIR
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: Streptococcus oralis, 01/08/07, stret test and culture negative
CDC 'Split Type': WAES0705USA03261

Write-up:Information has been received from a medical assistant concerning a 13 year old female patient with an amoxicillin allergy and no medical history, who on 20-OCT-2006 was vaccinated IM into the upper arm with a first dose of Gardasil (Lot# 653978/0955F). Concomitant therapy included montelukast sodium (MSD) and albuterol. It was reported that the patient got off the recommended dosing schedule because she was sick. On 05-JAN-2007 the patient was diagnosed with pharyngitis (likely viral). The patient was told to take zinc and homeopathic medicine called "INFLAMMATION by Heal." On 08-JAN-2007, laboratory diagnostic studies included a strep test and culture that was negative. On 12-JAN-2007, the patient was seen again and was diagnosed with pharyngitis and a possible ear infection and was given a homeopathic medicine called ("EUPHORIM"), a nasal spray. On 01-FEB-2007 the patient came in for a second dose of the vaccine (lot # 654702/0011U). It was reported that the patient no longer had an infection and subsequently recovered. No product quality complaint was involved. Additional information has been requested.


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