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This is VAERS ID 354460

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 354460
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2009-03-19
Onset:2009-04-07
Submitted:2009-08-17
Entered:2009-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma exercise induced

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0908USA01971

Write-up:Information has been received from a health Authority (#DK-DKMA-20091655), concerning a 12 year old female who on 19-Mar-2009 was vaccinated intramuscularly with the first dose of GARDASIL (batch number and site of administration not reported). On 07-Apr-2009 the patient experienced exercise induced asthma. It was reported that the patient had not recovered. The patient had no relevant medical history and received no concomitant medications or vaccine. Asthma exercise induced was considered to be disabling. Other business partner numbers included: E2009-07864. No further information is available.


Changed on 6/14/2014

VAERS ID: 354460 Before After
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2009-03-19
Onset:2009-04-07
Submitted:2009-08-17
Entered:2009-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma exercise induced

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0908USA01971

Write-up:Information has been received from a health Authority (#DK-DKMA-20091655), concerning a 12 year old female who on 19-Mar-2009 was vaccinated intramuscularly with the first dose of GARDASIL (batch number and site of administration not reported). On 07-Apr-2009 the patient experienced exercise induced asthma. It was reported that the patient had not recovered. The patient had no relevant medical history and received no concomitant medications or vaccine. Asthma exercise induced was considered to be disabling. Other business partner numbers included: E2009-07864. No further information is available.


Changed on 3/14/2015

VAERS ID: 354460 Before After
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2009-03-19
Onset:2009-04-07
Submitted:2009-08-17
Entered:2009-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma exercise induced

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0908USA01971

Write-up:Information has been received from a health Authority (#DK-DKMA-20091655), concerning a 12 year old female who on 19-Mar-2009 was vaccinated intramuscularly with the first dose of GARDASIL (batch number and site of administration not reported). On 07-Apr-2009 the patient experienced exercise induced asthma. It was reported that the patient had not recovered. The patient had no relevant medical history and received no concomitant medications or vaccine. Asthma exercise induced was considered to be disabling. Other business partner numbers included: E2009-07864. No further information is available.


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