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This is VAERS ID 284495

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284495
Age:12.0
Gender:Female
Location:Indiana
Vaccinated:2007-03-30
Onset:2007-04-04
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Anogenital warts

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a pharmacist and the patient''''s mother concerning a 12 year old female who on 29-JAN-2007 was vaccinated with the first dose of Gardasil. On 30-MAR-2007 the patient received a second dose of Gardasil. On 04-APR-2007 the"patient was diagnosed with genital warts. The patient had no other symptoms. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 284495 Before After
Age:12.0
Gender:Female
Location:Indiana
Vaccinated:2007-03-30
Onset:2007-04-04
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Anogenital warts

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0705USA05187

Write-up:Information has been received from a pharmacist and the patient''''s patient''s mother concerning a 12 year old female who on 29-JAN-2007 was vaccinated with the first dose of Gardasil. On 30-MAR-2007 the patient received a second dose of Gardasil. On 04-APR-2007 the"patient the patient was diagnosed with genital warts. The patient had no other symptoms. Additional information has been requested.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284495&WAYBACKHISTORY=ON


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