National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 284898

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284898
VAERS Form:
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
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: hormonal contraceptives
Current Illness:
Preexisting Conditions: None
Allergies:
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

284898 Before After
VAERS Form:
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
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: hormonal contraceptives
Current Illness:
Preexisting Conditions: None
Allergies:
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.


Changed on 9/14/2017

284898 Before After
VAERS Form:(blank) 1
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 1 UN / IM

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

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: hormonal contraceptives
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: electrocardiogram 03/01/07 - negative; ultrasound 03/??/07 - negative; diagnostic laboratory 03/01/07 - blood work: negative
CDC 'Split Type': 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. 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 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.


New Search

Link To This Search Result:

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


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166