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This is VAERS ID 284257

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284257
Age:10.0
Gender:Female
Location:California
Vaccinated:2006-10-03
Onset:2006-10-04
Submitted:2007-07-10
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB124AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Influenza like illness, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:This is report # 1 of 3, one for each Gardisil administered. Mother stated to me on 05/18/07, that 24 hours after Gardisil vaccine, patient had fever, and then developed flu-like symptoms.


Changed on 12/8/2009

VAERS ID: 284257 Before After
Age:10.0
Gender:Female
Location:California
Vaccinated:2006-10-03
Onset:2006-10-04
Submitted:2007-07-10
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB124AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Influenza like illness, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:This is report # 1 of 3, one for each Gardisil administered. Mother stated to me on 05/18/07, that 24 hours after Gardisil vaccine, patient had fever, and then developed flu-like symptoms.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284257&WAYBACKHISTORY=ON


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