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This is VAERS ID 284211

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284211
VAERS Form:
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-07-02
Onset:2007-07-02
Submitted:2007-07-05
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0307U / 2 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain upper, Headache, Skin warm, Tremor, Vaccine positive rechallenge

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Within a few hours of getting vaccine pt felt shaky. Headache, stomachache, felt warm. Last vaccine done 2-27-07 some reaction. Felt better after 2 days


Changed on 12/8/2009

284211 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-07-02
Onset:2007-07-02
Submitted:2007-07-05
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0307U / 2 - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Abdominal pain upper, Headache, Skin warm, Tremor, Vaccine positive rechallenge

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Within a few hours of getting vaccine pt felt shaky. Headache, stomachache, felt warm. Last vaccine done 2-27-07 some reaction. Felt better after 2 days


Changed on 9/14/2017

284211 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-07-02
Onset:2007-07-02
Submitted:2007-07-05
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0307U / 2 3 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Headache, Skin warm, Tremor, Vaccine positive rechallenge

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Within a few hours of getting vaccine pt felt shaky. Headache, stomachache, felt warm. Last vaccine done 2-27-07 some reaction. Felt better after 2 days


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