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This is VAERS ID 284480

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

284480
VAERS Form:
Age:18.0
Gender:Female
Location:Texas
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. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': WAES0705USA04450

Write-up:Information has been received from a physician concerning an 18 year old female who was vaccinated with the first dose of GARDASIL. Subsequently the patient expired breathing problems after the vaccine was administered. Subsequently, the patient recovered from the breathing problems after given Benadryl. Additional information has been requested.


Changed on 9/14/2017

284480 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Texas
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. - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': WAES0705USA04450

Write-up:Information has been received from a physician concerning an 18 year old female who was vaccinated with the first dose of GARDASIL. Subsequently the patient expired breathing problems after the vaccine was administered. Subsequently, the patient recovered from the breathing problems after given Benadryl. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284480&WAYBACKHISTORY=ON


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