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This is VAERS ID 284206

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284206
VAERS Form:
Age:20.0
Gender:Female
Location:Arkansas
Vaccinated:2007-07-05
Onset:2007-07-05
Submitted:2007-07-10
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Fatigue, Feeling hot

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Milk and ASA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Injection given on 7-5-07, pt left office after 15 min of inj. okay. Called back states she had immediate response felt very tired feverish and dizzy.


Changed on 12/8/2009

284206 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Arkansas
Vaccinated:2007-07-05
Onset:2007-07-05
Submitted:2007-07-10
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 LA / UN

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dizziness, Fatigue, Feeling hot

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Milk and ASA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Injection given on 7-5-07, pt left office after 15 min of inj. okay. Called back states she had immediate response felt very tired feverish and dizzy.


Changed on 9/14/2017

284206 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:Arkansas
Vaccinated:2007-07-05
Onset:2007-07-05
Submitted:2007-07-10
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 1 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Fatigue, Feeling hot

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Milk and ASA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Injection given on 7-5-07, pt left office after 15 min of inj. okay. Called back states she had immediate response felt very tired feverish and dizzy.


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