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This is VAERS ID 412368

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/7/2010

VAERS ID: 412368
VAERS Form:
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-22
Entered:2010-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Vaccination complication

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': A0876578A

Write-up: This case was reported by a healthcare professional, via another manufacturer (Merck), and described the occurrence of adverse reaction to vaccine in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of CERVARIX (details unknown). At an unspecified time after vaccination with CERVARIX, the subject experienced adverse reaction to vaccine. At the time of reporting the outcome of the event was unspecified. No further information was provided.


Changed on 1/4/2011

VAERS ID: 412368 Before After
VAERS Form:
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-22
Entered:2010-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Vaccination complication

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': A0876578A

Write-up: This case was reported by a healthcare professional, via another manufacturer (Merck), and described the occurrence of adverse reaction to vaccine in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of CERVARIX (details unknown). At an unspecified time after vaccination with CERVARIX, the subject experienced adverse reaction to vaccine. At the time of reporting the outcome of the event was unspecified. No further information was provided.


Changed on 9/14/2017

VAERS ID: 412368 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-22
Entered:2010-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Vaccination complication

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': A0876578A

Write-up: This case was reported by a healthcare professional, via another manufacturer (Merck), and described the occurrence of adverse reaction to vaccine in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of CERVARIX (details unknown). At an unspecified time after vaccination with CERVARIX, the subject experienced adverse reaction to vaccine. At the time of reporting the outcome of the event was unspecified. No further information was provided.


Changed on 2/14/2018

VAERS ID: 412368 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-22
Entered:2010-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Vaccination complication

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': A0876578A

Write-up: This case was reported by a healthcare professional, via another manufacturer (Merck), and described the occurrence of adverse reaction to vaccine in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of CERVARIX (details unknown). At an unspecified time after vaccination with CERVARIX, the subject experienced adverse reaction to vaccine. At the time of reporting the outcome of the event was unspecified. No further information was provided.


Changed on 6/14/2018

VAERS ID: 412368 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-22
Entered:2010-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Vaccination complication

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': A0876578A

Write-up: This case was reported by a healthcare professional, via another manufacturer (Merck), and described the occurrence of adverse reaction to vaccine in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of CERVARIX (details unknown). At an unspecified time after vaccination with CERVARIX, the subject experienced adverse reaction to vaccine. At the time of reporting the outcome of the event was unspecified. No further information was provided.


Changed on 8/14/2018

VAERS ID: 412368 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-22
Entered:2010-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Vaccination complication

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': A0876578A

Write-up: This case was reported by a healthcare professional, via another manufacturer (Merck), and described the occurrence of adverse reaction to vaccine in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of CERVARIX (details unknown). At an unspecified time after vaccination with CERVARIX, the subject experienced adverse reaction to vaccine. At the time of reporting the outcome of the event was unspecified. No further information was provided.


Changed on 9/14/2018

VAERS ID: 412368 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-22
Entered:2010-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Vaccination complication

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': A0876578A

Write-up: This case was reported by a healthcare professional, via another manufacturer (Merck), and described the occurrence of adverse reaction to vaccine in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of CERVARIX (details unknown). At an unspecified time after vaccination with CERVARIX, the subject experienced adverse reaction to vaccine. At the time of reporting the outcome of the event was unspecified. No further information was provided.


Changed on 10/14/2018

VAERS ID: 412368 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-22
Entered:2010-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Vaccination complication

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': A0876578A

Write-up: This case was reported by a healthcare professional, via another manufacturer (Merck), and described the occurrence of adverse reaction to vaccine in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of CERVARIX (details unknown). At an unspecified time after vaccination with CERVARIX, the subject experienced adverse reaction to vaccine. At the time of reporting the outcome of the event was unspecified. No further information was provided.


Changed on 12/24/2020

VAERS ID: 412368 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-22
Entered:2010-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Vaccination complication

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': A0876578A

Write-up: This case was reported by a healthcare professional, via another manufacturer (Merck), and described the occurrence of adverse reaction to vaccine in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of CERVARIX (details unknown). At an unspecified time after vaccination with CERVARIX, the subject experienced adverse reaction to vaccine. At the time of reporting the outcome of the event was unspecified. No further information was provided.


Changed on 12/30/2020

VAERS ID: 412368 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-22
Entered:2010-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Vaccination complication

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': A0876578A

Write-up: This case was reported by a healthcare professional, via another manufacturer (Merck), and described the occurrence of adverse reaction to vaccine in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of CERVARIX (details unknown). At an unspecified time after vaccination with CERVARIX, the subject experienced adverse reaction to vaccine. At the time of reporting the outcome of the event was unspecified. No further information was provided.


Changed on 5/7/2021

VAERS ID: 412368 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-22
Entered:2010-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Vaccination complication

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': A0876578A

Write-up: This case was reported by a healthcare professional, via another manufacturer (Merck), and described the occurrence of adverse reaction to vaccine in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of CERVARIX (details unknown). At an unspecified time after vaccination with CERVARIX, the subject experienced adverse reaction to vaccine. At the time of reporting the outcome of the event was unspecified. No further information was provided.


Changed on 5/21/2021

VAERS ID: 412368 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-22
Entered:2010-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Vaccination complication

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': A0876578A

Write-up: This case was reported by a healthcare professional, via another manufacturer (Merck), and described the occurrence of adverse reaction to vaccine in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline). On an unspecified date the subject received unspecified dose of CERVARIX (details unknown). At an unspecified time after vaccination with CERVARIX, the subject experienced adverse reaction to vaccine. At the time of reporting the outcome of the event was unspecified. No further information was provided.

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