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This is VAERS ID 263214

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 263214
Age:18.0
Gender:Female
Location:Massachusetts
Vaccinated:2006-08-16
Onset:2006-08-16
Submitted:2006-09-14
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site pain

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

Write-up:Information has been received from a registered nurse concerning an 18 year old female who on 16-AUG-2006 was vaccinated intramuscularly in the deltoid with HPV rLi 6 11 16 18 VLP vaccine (yeast) (0.5 ml). The patient subsequently experienced severe inje"ction site pain. It was reported that the patient remarked that the injection really hurt and that the pain flew down her arm. The patient rubbed her arm for a few minutes after receiving the injection. The patient subsequently went home and the nurse


Changed on 12/8/2009

VAERS ID: 263214 Before After
Age:18.0
Gender:Female
Location:Massachusetts
Vaccinated:2006-08-16
Onset:2006-08-16
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. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0608USA04456

Write-up:Information has been received from a registered nurse concerning an 18 year old female who on 16-AUG-2006 was vaccinated intramuscularly in the deltoid with HPV rLi 6 11 16 18 VLP vaccine (yeast) (0.5 ml). The patient subsequently experienced severe inje"ction injection site pain. It was reported that the patient remarked that the injection really hurt and that the pain flew down her arm. The patient rubbed her arm for a few minutes after receiving the injection. The patient subsequently went home and the nurse had not heard back from the patient. The patient was to be followed by her physician''s office. The nurse also reported that she had not agitated the syringe prior to injection. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 263214 Before After
Age:18.0
Gender:Female
Location:Massachusetts
Vaccinated:2006-08-16
Onset:2006-08-16
Submitted:2006-09-14
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0608USA04456

Write-up:Information has been received from a registered nurse concerning an 18 year old female who on 16-AUG-2006 was vaccinated intramuscularly in the deltoid with HPV rLi 6 11 16 18 VLP vaccine (yeast) (0.5 ml). The patient subsequently experienced severe injection site pain. It was reported that the patient remarked that the injection really hurt and that the pain flew down her arm. The patient rubbed her arm for a few minutes after receiving the injection. The patient subsequently went home and the nurse had not heard back from the patient. The patient was to be followed by her physician''s office. The nurse also reported that she had not agitated the syringe prior to injection. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 263214 Before After
Age:18.0
Gender:Female
Location:Massachusetts
Vaccinated:2006-08-16
Onset:2006-08-16
Submitted:2006-09-14
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0608USA04456

Write-up:Information has been received from a registered nurse concerning an 18 year old female who on 16-AUG-2006 was vaccinated intramuscularly in the deltoid with HPV rLi 6 11 16 18 VLP vaccine (yeast) (0.5 ml). The patient subsequently experienced severe injection site pain. It was reported that the patient remarked that the injection really hurt and that the pain flew down her arm. The patient rubbed her arm for a few minutes after receiving the injection. The patient subsequently went home and the nurse had not heard back from the patient. The patient was to be followed by her physician''s office. The nurse also reported that she had not agitated the syringe prior to injection. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


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