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This is VAERS ID 284485

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284485
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-05-01
Onset:2007-05-01
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: Unknown
Symptoms: Abdominal discomfort, Syncope, Vomiting, Hepatic enzyme increased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, days: 5     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: hepatic function tests - patient may have liver enzyme elevation
CDC 'Split Type':

Write-up:Information has been received from a company representative as reported by a nurse concerning a female (age not reported) who in approximately May 2007 /"within the last couple of weeks/", was vaccinated with a dose of Gardasil (lot# not provided). In app"roximately May 2007 ''''within the last two weeks or so/", the patient experienced vomiting and fainting after receiving the first dose of the vaccine. The patient was hospitalized for about 5 days. Liver enzyme tests were performed indicating that /"she ma


Changed on 12/8/2009

VAERS ID: 284485 Before After
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-05-01
Onset:2007-05-01
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: Unknown Other
Symptoms: Abdominal discomfort, Syncope, Vomiting, Hepatic enzyme increased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, days: 5     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: hepatic function tests - patient may have liver enzyme elevation
CDC 'Split Type': (blank) WAES0705USA04595

Write-up:Information has been received from a company representative as reported by a nurse concerning a female (age not reported) who in approximately May 2007 /"within "within the last couple of weeks/", weeks", was vaccinated with a dose of Gardasil (lot# not provided). In app"roximately approximately May 2007 ''''within ''within the last two weeks or so/", so", the patient experienced vomiting and fainting after receiving the first dose of the vaccine. The patient was hospitalized for about 5 days. Liver enzyme tests were performed indicating that /"she ma "she may have some liver enzyme elevation." The patient was complaining about GI upset. Subsequently the patient recovered. There was no product quality complaint involved. No further information is available.


Changed on 6/14/2014

VAERS ID: 284485 Before After
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-05-01
Onset:2007-05-01
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: Abdominal discomfort, Syncope, Vomiting, Hepatic enzyme increased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, days: 5     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: hepatic function tests - patient may have liver enzyme elevation
CDC 'Split Type': WAES0705USA04595

Write-up:Information has been received from a company representative as reported by a nurse concerning a female (age not reported) who in approximately May 2007 "within the last couple of weeks", was vaccinated with a dose of Gardasil (lot# not provided). In approximately May 2007 ''within the last two weeks or so", the patient experienced vomiting and fainting after receiving the first dose of the vaccine. The patient was hospitalized for about 5 days. Liver enzyme tests were performed indicating that "she may have some liver enzyme elevation." The patient was complaining about GI upset. Subsequently the patient recovered. There was no product quality complaint involved. No further information is available.


Changed on 5/14/2017

VAERS ID: 284485 Before After
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-05-01
Onset:2007-05-01
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: Abdominal discomfort, Syncope, Vomiting, Hepatic enzyme increased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, days: 5     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: hepatic function tests - patient may have liver enzyme elevation
CDC 'Split Type': WAES0705USA04595

Write-up:Information has been received from a company representative as reported by a nurse concerning a female (age not reported) who in approximately May 2007 "within the last couple of weeks", was vaccinated with a dose of Gardasil (lot# not provided). In approximately May 2007 ''within the last two weeks or so", the patient experienced vomiting and fainting after receiving the first dose of the vaccine. The patient was hospitalized for about 5 days. Liver enzyme tests were performed indicating that "she may have some liver enzyme elevation." The patient was complaining about GI upset. Subsequently the patient recovered. There was no product quality complaint involved. No further information is available.


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