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This is VAERS ID 398183

History of Changes from the VAERS Wayback Machine

First Appeared on 9/22/2010

VAERS ID: 398183
VAERS Form:
Age:
Gender:Female
Location:New York
Vaccinated:2008-07-01
Onset:2008-07-01
Submitted:2010-08-04
Entered:2010-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness

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: Unknown
CDC 'Split Type': WAES0907USA00955

Write-up: Information has been received from a physician concerning a female who about a year ago, in approximately July 2008, was vaccinated with a dose of GARDASIL (dose, route and lot number not reported). About a year ago, in approximately July 2008, the patient experienced flu like symptoms after each dose of GARDASIL. The patient sought medical attention by making an office visit. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 398183 Before After
VAERS Form:
Age:
Gender:Female
Location:New York
Vaccinated:2008-07-01
Onset:2008-07-01
Submitted:2010-08-04
Entered:2010-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness

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: Unknown
CDC 'Split Type': WAES0907USA00955

Write-up: Information has been received from a physician concerning a female who about a year ago, in approximately July 2008, was vaccinated with a dose of GARDASIL (dose, route and lot number not reported). About a year ago, in approximately July 2008, the patient experienced flu like symptoms after each dose of GARDASIL. The patient sought medical attention by making an office visit. Additional information has been requested.


Changed on 4/14/2017

VAERS ID: 398183 Before After
VAERS Form:
Age:
Gender:Female
Location:New York
Vaccinated:2008-07-01
Onset:2008-07-01
Submitted:2010-08-04
Entered:2010-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness

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: Unknown
CDC 'Split Type': WAES0907USA00955

Write-up: Information has been received from a physician concerning a female who about a year ago, in approximately July 2008, was vaccinated with a dose of GARDASIL (dose, route and lot number not reported). About a year ago, in approximately July 2008, the patient experienced flu like symptoms after each dose of GARDASIL. The patient sought medical attention by making an office visit. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 398183 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:New York
Vaccinated:2008-07-01
Onset:2008-07-01
Submitted:2010-08-04
Entered:2010-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness

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: Unknown
CDC 'Split Type': WAES0907USA00955

Write-up: Information has been received from a physician concerning a female who about a year ago, in approximately July 2008, was vaccinated with a dose of GARDASIL (dose, route and lot number not reported). About a year ago, in approximately July 2008, the patient experienced flu like symptoms after each dose of GARDASIL. The patient sought medical attention by making an office visit. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 398183 Before After
VAERS Form:1
Age:
Gender:Female
Location:New York
Vaccinated:2008-07-01
Onset:2008-07-01
Submitted:2010-08-04
Entered:2010-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness

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: Unknown
CDC 'Split Type': WAES0907USA00955

Write-up: Information has been received from a physician concerning a female who about a year ago, in approximately July 2008, was vaccinated with a dose of GARDASIL (dose, route and lot number not reported). About a year ago, in approximately July 2008, the patient experienced flu like symptoms after each dose of GARDASIL. The patient sought medical attention by making an office visit. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 398183 Before After
VAERS Form:1
Age:
Gender:Female
Location:New York
Vaccinated:2008-07-01
Onset:2008-07-01
Submitted:2010-08-04
Entered:2010-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness

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: Unknown
CDC 'Split Type': WAES0907USA00955

Write-up: Information has been received from a physician concerning a female who about a year ago, in approximately July 2008, was vaccinated with a dose of GARDASIL (dose, route and lot number not reported). About a year ago, in approximately July 2008, the patient experienced flu like symptoms after each dose of GARDASIL. The patient sought medical attention by making an office visit. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 398183 Before After
VAERS Form:1
Age:
Gender:Female
Location:New York
Vaccinated:2008-07-01
Onset:2008-07-01
Submitted:2010-08-04
Entered:2010-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness

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: Unknown
CDC 'Split Type': WAES0907USA00955

Write-up: Information has been received from a physician concerning a female who about a year ago, in approximately July 2008, was vaccinated with a dose of GARDASIL (dose, route and lot number not reported). About a year ago, in approximately July 2008, the patient experienced flu like symptoms after each dose of GARDASIL. The patient sought medical attention by making an office visit. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 398183 Before After
VAERS Form:1
Age:
Gender:Female
Location:New York
Vaccinated:2008-07-01
Onset:2008-07-01
Submitted:2010-08-04
Entered:2010-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness

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: Unknown
CDC 'Split Type': WAES0907USA00955

Write-up: Information has been received from a physician concerning a female who about a year ago, in approximately July 2008, was vaccinated with a dose of GARDASIL (dose, route and lot number not reported). About a year ago, in approximately July 2008, the patient experienced flu like symptoms after each dose of GARDASIL. The patient sought medical attention by making an office visit. Additional information has been requested.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=398183&WAYBACKHISTORY=ON


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