National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 284901

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284901
VAERS Form:
Age:
Gender:Female
Location:Florida
Vaccinated:2007-05-31
Onset:2007-05-31
Submitted:2007-07-06
Entered:2007-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0314U / 0 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Body temperature increased, Dizziness, Nausea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: body temp 05/31/07 102 F Fever
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female patient who on 31-MAY-2007 was vaccinated IM with a first 0.5ml dose of Gardasil (Lot# 657005/0314U). On 31-MAY-2007, the patient experienced a fever of 102 deg F along with dizziness and"nausea. Unspecified medical attention was sought. At the time of this report the patient was recovering. No product quality complaint was involved. Additional information has been requested.


Changed on 12/8/2009

284901 Before After
VAERS Form:
Age:
Gender:Female
Location:Florida
Vaccinated:2007-05-31
Onset:2007-05-31
Submitted:2007-07-06
Entered:2007-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0314U / 0 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Body temperature increased, Dizziness, Nausea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: body temp 05/31/07 102 F Fever
CDC 'Split Type': (blank) WAES0706USA00213

Write-up:Information has been received from a physician concerning a female patient who on 31-MAY-2007 was vaccinated IM with a first 0.5ml dose of Gardasil (Lot# 657005/0314U). On 31-MAY-2007, the patient experienced a fever of 102 deg F along with dizziness and"nausea. and nausea. Unspecified medical attention was sought. At the time of this report the patient was recovering. No product quality complaint was involved. Additional information has been requested.


Changed on 9/14/2017

284901 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Florida
Vaccinated:2007-05-31
Onset:2007-05-31
Submitted:2007-07-06
Entered:2007-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0314U / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Body temperature increased, Dizziness, Nausea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: body temp 05/31/07 102 F Fever
CDC 'Split Type': WAES0706USA00213

Write-up:Information has been received from a physician concerning a female patient who on 31-MAY-2007 was vaccinated IM with a first 0.5ml dose of Gardasil (Lot# 657005/0314U). On 31-MAY-2007, the patient experienced a fever of 102 deg F along with dizziness and nausea. Unspecified medical attention was sought. At the time of this report the patient was recovering. No product quality complaint was involved. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284901&WAYBACKHISTORY=ON


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