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This is VAERS ID 260907

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

260907
VAERS Form:
Age:17.0
Gender:Female
Location:Texas
Vaccinated:2006-07-18
Onset:2006-07-18
Submitted:2006-07-19
Entered:2006-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0702F / 0 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Rash, Swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness: human papilloma virus, genital warts
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Swelling immediately after vaccine was administered, also rash. Ice pack was applied for 5 minutes and swelling decreases. Rash was still visible, but cream was applied.


Changed on 12/8/2009

260907 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Texas
Vaccinated:2006-07-18
Onset:2006-07-18
Submitted:2006-07-19
Entered:2006-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 RA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Rash, Swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness: human papilloma virus, genital warts
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Swelling immediately after vaccine was administered, also rash. Ice pack was applied for 5 minutes and swelling decreases. Rash was still visible, but cream was applied.


Changed on 3/2/2010

260907 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Texas
Vaccinated:2006-07-18
Onset:2006-07-18
Submitted:2006-07-19
Entered:2006-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 RA / - UN

Administered by: Private      Purchased by: Private
Symptoms: Rash, Swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE None
Current Illness: human papilloma virus, genital warts
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Swelling immediately after vaccine was administered, also rash. Ice pack was applied for 5 minutes and swelling decreases. Rash was still visible, but cream was applied. This is in follow-up report(s) previously submitted on 8/10/2006. Information has been received from a physician concerning a 17 year old female who on an unspecified date was vaccinated with 0.5 ml dose of GARDASIL. Subsequently, the patient experienced painful, swelling "the size of a golf balll" at the injection site. Unspecified medical attention was sought. No diagnostic laboratory studied were performed. The patient recovered by "the next day." Additional information has been requested.


Changed on 4/7/2010

260907 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Texas
Vaccinated:2006-07-18
Onset:2006-07-18
Submitted:2006-07-19
Entered:2006-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Injection site pain, Rash, Swelling, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: human papilloma virus, genital warts
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Swelling immediately after vaccine was administered, also rash. Ice pack was applied for 5 minutes and swelling decreases. Rash was still visible, but cream was applied. This is in follow-up report(s) previously submitted on 8/10/2006. Information has been received from a physician concerning a 17 year old female who on an unspecified date was vaccinated with 0.5 ml dose of GARDASIL. Subsequently, the patient experienced painful, swelling "the size of a golf balll" at the injection site. Unspecified medical attention was sought. No diagnostic laboratory studied were performed. The patient recovered by "the next day." Additional information has been requested.


Changed on 6/14/2014

260907 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Texas
Vaccinated:2006-07-18
Onset:2006-07-18
Submitted:2006-07-19
Entered:2006-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Injection site pain, Rash, Swelling, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: human papilloma virus, genital warts
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Swelling immediately after vaccine was administered, also rash. Ice pack was applied for 5 minutes and swelling decreases. Rash was still visible, but cream was applied. This is in follow-up report(s) previously submitted on 8/10/2006. Information has been received from a physician concerning a 17 year old female who on an unspecified date was vaccinated with 0.5 ml dose of GARDASIL. Subsequently, the patient experienced painful, swelling "the size of a golf balll" at the injection site. Unspecified medical attention was sought. No diagnostic laboratory studied were performed. The patient recovered by "the next day." Additional information has been requested.


Changed on 5/14/2017

260907 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Texas
Vaccinated:2006-07-18
Onset:2006-07-18
Submitted:2006-07-19
Entered:2006-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Injection site pain, Rash, Swelling, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: human papilloma virus, genital warts
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Swelling immediately after vaccine was administered, also rash. Ice pack was applied for 5 minutes and swelling decreases. Rash was still visible, but cream was applied. This is in follow-up report(s) previously submitted on 8/10/2006. Information has been received from a physician concerning a 17 year old female who on an unspecified date was vaccinated with 0.5 ml dose of GARDASIL. Subsequently, the patient experienced painful, swelling "the size of a golf balll" at the injection site. Unspecified medical attention was sought. No diagnostic laboratory studied were performed. The patient recovered by "the next day." Additional information has been requested.


Changed on 9/14/2017

260907 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Texas
Vaccinated:2006-07-18
Onset:2006-07-18
Submitted:2006-07-19
Entered:2006-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 1 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Injection site pain, Rash, Swelling, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: human papilloma virus, genital warts
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Swelling immediately after vaccine was administered, also rash. Ice pack was applied for 5 minutes and swelling decreases. Rash was still visible, but cream was applied. This is in follow-up report(s) previously submitted on 8/10/2006. Information has been received from a physician concerning a 17 year old female who on an unspecified date was vaccinated with 0.5 ml dose of GARDASIL. Subsequently, the patient experienced painful, swelling "the size of a golf balll" at the injection site. Unspecified medical attention was sought. No diagnostic laboratory studied were performed. The patient recovered by "the next day." Additional information has been requested.


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