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This is VAERS ID 284557

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284557
VAERS Form:
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
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: None
Current Illness: Lactose intolerance
Preexisting Conditions:
Allergies:
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

284557 Before After
VAERS Form:
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
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: None
Current Illness: Lactose intolerance
Preexisting Conditions:
Allergies:
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.


Changed on 9/14/2017

284557 Before After
VAERS Form:(blank) 1
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. - / - UNK UN / UN

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

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: None
Current Illness: Lactose intolerance
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': 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 after 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 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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