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This is VAERS ID 284158

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 284158
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-10
Onset:2007-05-10
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Colonoscopy, Dizziness, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: colonoscopy 05/11/07
CDC 'Split Type': WAES0705USA03794

Write-up:Information has been received from a nurse practitioner concerning a 17 year old female patient who on 10-MAY-2007 was vaccinated with a dose of Gardasil. On 10-MAY-2007 the patient experienced a rash on her legs and dizziness. The day after she developed a rash on her arms. The patient also had a colonoscopy performed on that day. Unspecified medical attention was sought. At the time of this report, the patient''s outcome was unknown. No product quality complaint was involved. Additional information has been requested.


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