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This is VAERS ID 284487

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284487
VAERS Form:
Age:15.0
Gender:Female
Location:Delaware
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: Unknown
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: Asthma
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 15 year old female patient with a history of asthma who was vaccinated with a first dose of Gardasil. Within twenty-four hours after receiving the vaccine, the patient experienced difficulty brea"thing. Unspecified medical attention was sought. At the time of this report the patient had recovered. It was reported that the patient will not complete the series. No product quality complaint was involved. Additional information has been requested.


Changed on 12/8/2009

284487 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Delaware
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: Unknown 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: Asthma
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0705USA04955

Write-up:Information has been received from a physician concerning a 15 year old female patient with a history of asthma who was vaccinated with a first dose of Gardasil. Within twenty-four hours after receiving the vaccine, the patient experienced difficulty brea"thing. breathing. Unspecified medical attention was sought. At the time of this report the patient had recovered. It was reported that the patient will not complete the series. No product quality complaint was involved. Additional information has been requested.


Changed on 9/14/2017

284487 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Delaware
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: Asthma
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA04955

Write-up:Information has been received from a physician concerning a 15 year old female patient with a history of asthma who was vaccinated with a first dose of Gardasil. Within twenty-four hours after receiving the vaccine, the patient experienced difficulty breathing. Unspecified medical attention was sought. At the time of this report the patient had recovered. It was reported that the patient will not complete the series. No product quality complaint was involved. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284487&WAYBACKHISTORY=ON


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