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This is VAERS ID 284259

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284259
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: fever, flu-like symptoms~HPV (Gardasil)~1~11~In Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
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

VAERS ID: 284259 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: fever, flu-like symptoms~HPV (Gardasil)~1~11~In Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
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

VAERS ID: 284259 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: fever, flu-like symptoms~HPV (Gardasil)~1~11~In Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
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

VAERS ID: 284259 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? 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
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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