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This is VAERS ID 284898

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284898
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-01
Onset:2007-03-01
Submitted:2007-07-06
Entered:2007-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Chest pain, Electrocardiogram normal, Blood test normal, Ultrasound scan normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: electrocardiogram 03/01/07 - negative; ultrasound 03/??/07 - negative; diagnostic laboratory 03/01/07 - blood work: negative
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 22 year old female with no pertinent medical history and no history of drug reaction/allergies who in January 2007, was vaccinated with a first dose of Gardasil (lot # not reported) 0.5 ml IM. Co"ncomitant therapy included hormonal contraceptives (unspecified). In March 2007, the patient experienced left sided chest pain. Medical attention was sought. There was no radiation and treatment prescribed. In March 2007, the patient had an electrocardiog


Changed on 12/8/2009

VAERS ID: 284898 Before After
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-01
Onset:2007-03-01
Submitted:2007-07-06
Entered:2007-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Chest pain, Electrocardiogram normal, Blood test normal, Ultrasound scan normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: electrocardiogram 03/01/07 - negative; ultrasound 03/??/07 - negative; diagnostic laboratory 03/01/07 - blood work: negative
CDC 'Split Type': (blank) WAES0706USA00199

Write-up:Information has been received from a physician concerning a 22 year old female with no pertinent medical history and no history of drug reaction/allergies who in January 2007, was vaccinated with a first dose of Gardasil (lot # not reported) 0.5 ml IM. Co"ncomitant Concomitant therapy included hormonal contraceptives (unspecified). In March 2007, the patient experienced left sided chest pain. Medical attention was sought. There was no radiation and treatment prescribed. In March 2007, the patient had an electrocardiog electrocardiogram, blood work and ultrasound performed; all results were negative. The patient was taking birth control but was discontinued in march 2007. The pain resolved on its own. When the patient was seen again by the physician at the end of April 2007, the pain had resolved completely. The physician restarted the birth control after the patient''s visit in April, 2007. The patient was requesting the second dose of Gardasil. No additional information was available at the time of reporting. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284898&WAYBACKHISTORY=ON


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