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This is VAERS ID 284557

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284557
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Asthenia, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Lactose intolerance
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a certified nurse midwife concerning a 21 year old female with lactose intolerance who in November 2006, was vaccinated with a first dose of Gardasil. There were no concomitant medications. Subsequently, 12 to 24 hours a"fter the first, the patient experienced /"extreme weakness/" and fever $g 100 F. Unspecified medical attention was sought. Subsequently, the patient recovered from /"extreme weakness/" and fever $g 100 F. On an unspecified date, the patient was vaccinated


Changed on 12/8/2009

VAERS ID: 284557 Before After
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Asthenia, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Lactose intolerance
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0706USA00038

Write-up:Information has been received from a certified nurse midwife concerning a 21 year old female with lactose intolerance who in November 2006, was vaccinated with a first dose of Gardasil. There were no concomitant medications. Subsequently, 12 to 24 hours a"fter after the first, the patient experienced /"extreme weakness/" "extreme weakness" and fever $g 100 F. Unspecified medical attention was sought. Subsequently, the patient recovered from /"extreme weakness/" "extreme weakness" and fever $g 100 F. On an unspecified date, the patient was vaccinated with a second dose of Gardasil. Subsequently, 12 to 24 hours after the second, the patient experienced "extreme weakness" and fever $g 100 F. Unspecified medical attention was sought. Subsequently, the patient recovered from "extreme weakness" and fever $g 100 F. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284557&WAYBACKHISTORY=ON


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