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This is VAERS ID 284462

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

284462
VAERS Form:
Age:
Gender:Unknown
Location:New Mexico
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA04197

Write-up:Information has been received from a physician concerning a patient who was vaccinated with 0.5 ml of Gardasil. subsequently the patient experienced stomach pain after receiving the vaccine. The patient''s outcome was not reported. Medical attention was sought. Additional information has been requested.


Changed on 9/14/2017

284462 Before After
VAERS Form:(blank) 1
Age:
Gender:Unknown
Location:New Mexico
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA04197

Write-up:Information has been received from a physician concerning a patient who was vaccinated with 0.5 ml of Gardasil. subsequently the patient experienced stomach pain after receiving the vaccine. The patient''s outcome was not reported. Medical attention was sought. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284462&WAYBACKHISTORY=ON


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