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This is VAERS ID 284522

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284522
VAERS Form:
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Headache

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: LEVORA
Current Illness: Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 20 year old female with a penicillin allergy who in January 2007, was vaccinated with a first dose of Gardasil. Concomitant therapy included Levora. In March 2007, the patient was vaccinated with"a second dose of Gardasil. Within 24 hours of the second vaccination, the patient developed a headache. The patient sought unspecified medical attention. The headache resolved on its own. The vaccination was not administered at the physician''''s office. Th


Changed on 12/8/2009

284522 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Headache

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: LEVORA
Current Illness: Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0705USA05672

Write-up:Information has been received from a physician concerning a 20 year old female with a penicillin allergy who in January 2007, was vaccinated with a first dose of Gardasil. Concomitant therapy included Levora. In March 2007, the patient was vaccinated with"a with a second dose of Gardasil. Within 24 hours of the second vaccination, the patient developed a headache. The patient sought unspecified medical attention. The headache resolved on its own. The vaccination was not administered at the physician''''s physician''s office. Th The patient picked up the vaccine from the pharmacy, and her mother, who was a physician, administered the vaccine at home. The patient did not develop a headache after the first injection. Additional information has been requested.


Changed on 2/5/2010

284522 Before After
VAERS Form:
Age:20.0 21.0
Gender:Female
Location:Unknown Maryland
Vaccinated:2007-03-01 2007-04-01
Onset:2007-03-01 2007-04-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Headache

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: LEVORA
Current Illness: Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA05672

Write-up:Information (and additional information on 23-OCT-2007) has been received from a physician concerning a 20 her 21 year old female daughter with a penicillin allergy who in January 2007, was vaccinated with a first dose of Gardasil. Concomitant therapy included Levora. In March April 2007, the patient was vaccinated with a second dose of Gardasil. Within 24 hours of The patient was vaccinated in the second vaccination, morning and by the patient evening had developed a headache. The patient sought unspecified medical attention. The headache resolved on its own. lasted 4 hours and was treated with TYLENOL. The vaccination was not administered at the physician''s office. The patient picked up the vaccine from at the pharmacy, and her mother, who was a physician, administered the vaccine at home. The patient did not develop a headache after the afte rthe first injection. Additional information has been requested.


Changed on 6/14/2014

284522 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Maryland
Vaccinated:2007-04-01
Onset:2007-04-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Headache

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: LEVORA
Current Illness: Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA05672

Write-up:Information (and additional information on 23-OCT-2007) has been received from a physician concerning her 21 year old daughter with a penicillin allergy who in January 2007, was vaccinated with a first dose of Gardasil. Concomitant therapy included Levora. In April 2007, the patient was vaccinated with a second dose of Gardasil. The patient was vaccinated in the morning and by the evening had developed a headache. The patient sought unspecified medical attention. The headache lasted 4 hours and was treated with TYLENOL. The vaccination was not administered at the physician''s office. The patient picked up the vaccine at the pharmacy, and her mother, who was a physician, administered the vaccine at home. The patient did not develop a headache afte rthe first injection. Additional information has been requested.


Changed on 5/14/2017

284522 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Maryland
Vaccinated:2007-04-01
Onset:2007-04-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Headache

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: LEVORA
Current Illness: Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA05672

Write-up:Information (and additional information on 23-OCT-2007) has been received from a physician concerning her 21 year old daughter with a penicillin allergy who in January 2007, was vaccinated with a first dose of Gardasil. Concomitant therapy included Levora. In April 2007, the patient was vaccinated with a second dose of Gardasil. The patient was vaccinated in the morning and by the evening had developed a headache. The patient sought unspecified medical attention. The headache lasted 4 hours and was treated with TYLENOL. The vaccination was not administered at the physician''s office. The patient picked up the vaccine at the pharmacy, and her mother, who was a physician, administered the vaccine at home. The patient did not develop a headache afte rthe first injection. Additional information has been requested.


Changed on 9/14/2017

284522 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:Maryland
Vaccinated:2007-04-01
Onset:2007-04-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Headache

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: LEVORA
Current Illness: Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA05672

Write-up:Information (and additional information on 23-OCT-2007) has been received from a physician concerning her 21 year old daughter with a penicillin allergy who in January 2007, was vaccinated with a first dose of Gardasil. Concomitant therapy included Levora. In April 2007, the patient was vaccinated with a second dose of Gardasil. The patient was vaccinated in the morning and by the evening had developed a headache. The patient sought unspecified medical attention. The headache lasted 4 hours and was treated with TYLENOL. The vaccination was not administered at the physician''s office. The patient picked up the vaccine at the pharmacy, and her mother, who was a physician, administered the vaccine at home. The patient did not develop a headache afte rthe first injection. Additional information has been requested.


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