National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 307627

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

307627
VAERS Form:
Age:16.0
Gender:Female
Location:Delaware
Vaccinated:2008-02-05
Onset:2008-03-03
Submitted:2008-03-19
Entered:2008-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal pain upper, Fatigue, Hyperhidrosis, Activities of daily living impaired, Epstein-Barr virus antibody negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: ultrasound slightly enlarged spleen; serum Epstein-Barr negative
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 16 year old female who on 05-FEB-2008 was vaccinated with Gardasil (lot number not provided). On 03-MAR-2008 the patient experienced extreme fatigue, severe stomach pains and breaking out in swea"t. The patient also stated /"the pain is so extreme, she can not go to school./" The patient''''s extreme fatigue and severe stomach pains and breaking out in sweat persisted. On an unspecified date, the patient had a mononucleosis test performed-result was


Changed on 12/8/2009

307627 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Delaware
Vaccinated:2008-02-05
Onset:2008-03-03
Submitted:2008-03-19
Entered:2008-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal pain upper, Fatigue, Hyperhidrosis, Splenomegaly, Activities of daily living impaired, Ultrasound abdomen abnormal, Epstein-Barr virus antibody negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: ultrasound slightly enlarged spleen; serum Epstein-Barr negative
CDC 'Split Type': (blank) WAES0803USA02393

Write-up:Information has been received from a physician concerning a 16 year old female who on 05-FEB-2008 was vaccinated with Gardasil (lot number not provided). On 03-MAR-2008 the patient experienced extreme fatigue, severe stomach pains and breaking out in swea"t. sweat. The patient also stated /"the "the pain is so extreme, she can not go to school./" school." The patient''''s patient''s extreme fatigue and severe stomach pains and breaking out in sweat persisted. On an unspecified date, the patient had a mononucleosis test performed-result was negative. On an unspecified date an ultrasound was also performed, results indicated that the patients spleen was slightly enlarged. Extreme fatigue, severe stomach pains and breaking out in sweat were considered to be disabling. Additional information has been requested.


Changed on 9/14/2017

307627 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Delaware
Vaccinated:2008-02-05
Onset:2008-03-03
Submitted:2008-03-19
Entered:2008-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Fatigue, Hyperhidrosis, Splenomegaly, Activities of daily living impaired, Ultrasound abdomen abnormal, Epstein-Barr virus antibody negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: ultrasound slightly enlarged spleen; serum Epstein-Barr negative
CDC 'Split Type': WAES0803USA02393

Write-up:Information has been received from a physician concerning a 16 year old female who on 05-FEB-2008 was vaccinated with Gardasil (lot number not provided). On 03-MAR-2008 the patient experienced extreme fatigue, severe stomach pains and breaking out in sweat. The patient also stated "the pain is so extreme, she can not go to school." The patient''s extreme fatigue and severe stomach pains and breaking out in sweat persisted. On an unspecified date, the patient had a mononucleosis test performed-result was negative. On an unspecified date an ultrasound was also performed, results indicated that the patients spleen was slightly enlarged. Extreme fatigue, severe stomach pains and breaking out in sweat were considered to be disabling. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=307627&WAYBACKHISTORY=ON


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