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This is VAERS ID 284156

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

284156
VAERS Form:
Age:14.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-17
Onset:2007-05-17
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Nausea, Vomiting, Immediate post-injection reaction

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: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA03778

Write-up:Information has been received from a physician concerning a 14 year old female patient with no known allergies who on 17-MAY-2007 was vaccinated IM with 0.5 ml of Gardasil. That same day, 5 minutes after the injection, she felt nauseous which lasted throughout the night and on 18-MAY-2007 she vomited. The patient sought unspecified medical attention. No further information is available. Additional information has been requested.


Changed on 9/14/2017

284156 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-17
Onset:2007-05-17
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Nausea, Vomiting, Immediate post-injection reaction

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: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA03778

Write-up:Information has been received from a physician concerning a 14 year old female patient with no known allergies who on 17-MAY-2007 was vaccinated IM with 0.5 ml of Gardasil. That same day, 5 minutes after the injection, she felt nauseous which lasted throughout the night and on 18-MAY-2007 she vomited. The patient sought unspecified medical attention. No further information is available. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284156&WAYBACKHISTORY=ON


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