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This is VAERS ID 263211

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 263211
Age:19.0
Gender:Female
Location:Florida
Vaccinated:2006-08-11
Onset:2006-08-12
Submitted:2006-09-14
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0702F / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: (therapy unspecified)
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Initial and follow up has been received from a healthcare worker in a physician''''s office concerning her 19 year old daughter who was a student and an unspecified person at the physician''''s office. On 11-AUG-2006, at 11:15 am, the patient was vaccinated"intramuscularly in the deltoid with the first dose of HPV rLi 6 11 16 18 VLP vaccine (yeast) (Lot#653650/0702F). Other concomitant therapy included an unspecified therapy (''''LO-L/"). On 12-AUG-2006 (previously reported as 14-AUG-2006) the patient develo


Changed on 12/8/2009

VAERS ID: 263211 Before After
Age:19.0
Gender:Female
Location:Florida
Vaccinated:2006-08-11
Onset:2006-08-12
Submitted:2006-09-14
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 - / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: (therapy unspecified)
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0608USA03973

Write-up:Initial and follow up has been received from a healthcare worker in a physician''''s physician''s office concerning her 19 year old daughter who was a student and an unspecified person at the physician''''s physician''s office. On 11-AUG-2006, at 11:15 am, the patient was vaccinated"intramuscularly vaccinated intramuscularly in the deltoid with the first dose of HPV rLi 6 11 16 18 VLP vaccine (yeast) (Lot#653650/0702F). Other concomitant therapy included an unspecified therapy (''''LO-L/"). (''LO-L"). On 12-AUG-2006 (previously reported as 14-AUG-2006) the patient develo developed pain in her right arm and ribcage on the same side where the vaccine was administered. On 16-AUG-2006, the patient had recovered from the events. No further information is available.


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