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This is VAERS ID 284259

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284259
VAERS Form:
Age:10.0
Gender:Female
Location:California
Vaccinated:2006-12-05
Onset:2006-12-05
Submitted:2007-07-10
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 LA / IM

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

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: fever, flu-like symptoms~HPV (Gardasil)~1~11~In Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': NONE

Write-up:This is report # 2 of 3 for this patient re: 3 Gardisil vaccines. Mother states that after Gardisil #2, she had a fever, nausea, and vomiting, and then within 24 hours developed flu-like symptoms. Mother feels that after Gardisil administration, patient"seemed much more susceptible to flu-like illnesses and various infections, e.g. sinusitis.


Changed on 12/8/2009

284259 Before After
VAERS Form:
Age:10.0
Gender:Female
Location:California
Vaccinated:2006-12-05
Onset:2006-12-05
Submitted:2007-07-10
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 LA / IM

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

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: fever, flu-like symptoms~HPV (Gardasil)~1~11~In Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': NONE

Write-up:This is report # 2 of 3 for this patient re: 3 Gardisil vaccines. Mother states that after Gardisil #2, she had a fever, nausea, and vomiting, and then within 24 hours developed flu-like symptoms. Mother feels that after Gardisil administration, patient"seemed patient seemed much more susceptible to flu-like illnesses and various infections, e.g. sinusitis.


Changed on 10/14/2012

284259 Before After
VAERS Form:
Age:10.0
Gender:Female
Location:California
Vaccinated:2006-12-05
Onset:2006-12-05
Submitted:2007-07-10
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Influenza like illness, Nausea, Pyrexia, Vomiting

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: fever, flu-like symptoms~HPV (Gardasil)~1~11~In Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': NONE (blank)

Write-up:This is report # 2 of 3 for this patient re: 3 Gardisil vaccines. Mother states that after Gardisil #2, she had a fever, nausea, and vomiting, and then within 24 hours developed flu-like symptoms. Mother feels that after Gardisil administration, patient seemed much more susceptible to flu-like illnesses and various infections, e.g. sinusitis.


Changed on 5/14/2017

284259 Before After
VAERS Form:
Age:10.0
Gender:Female
Location:California
Vaccinated:2006-12-05
Onset:2006-12-05
Submitted:2007-07-10
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Influenza like illness, Nausea, Pyrexia, Vomiting

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: fever, flu-like symptoms~HPV (Gardasil)~1~11~In (Gardasil)~1~10.50~In Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:This is report # 2 of 3 for this patient re: 3 Gardisil vaccines. Mother states that after Gardisil #2, she had a fever, nausea, and vomiting, and then within 24 hours developed flu-like symptoms. Mother feels that after Gardisil administration, patient seemed much more susceptible to flu-like illnesses and various infections, e.g. sinusitis.


Changed on 9/14/2017

284259 Before After
VAERS Form:(blank) 1
Age:10.0
Gender:Female
Location:California
Vaccinated:2006-12-05
Onset:2006-12-05
Submitted:2007-07-10
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Influenza like illness, Nausea, Pyrexia, Vomiting

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: fever, flu-like symptoms~HPV (Gardasil)~1~10.50~In Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:This is report # 2 of 3 for this patient re: 3 Gardisil vaccines. Mother states that after Gardisil #2, she had a fever, nausea, and vomiting, and then within 24 hours developed flu-like symptoms. Mother feels that after Gardisil administration, patient seemed much more susceptible to flu-like illnesses and various infections, e.g. sinusitis.


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