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This is VAERS ID 263227

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 263227
Age:20.0
Gender:Female
Location:Massachusetts
Vaccinated:2006-08-07
Onset:2006-08-07
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: Other      Purchased by: Unknown
Symptoms: Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YAZ
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a 20 year old female patient who on 07-AUG-2006 was vaccinated intramuscularly with her first dose of HPV rLi 6 11 16 18 VLP vaccine (yeast) (lot#653650/0702F). Concomitant therapy included drospirenone (+) ethinyl estr"adiol (YAZ). The patient stated that /"right after getting the shot/" she experienced pain in the upper arm on and off throughout the day. She also stated that the pain/"feels like she has a knife in her arm/". Unspecified medical attention was sought.


Changed on 12/8/2009

VAERS ID: 263227 Before After
Age:20.0
Gender:Female
Location:Massachusetts
Vaccinated:2006-08-07
Onset:2006-08-07
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: Other      Purchased by: Unknown Other
Symptoms: Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YAZ
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0608USA06260

Write-up:Information has been received from a 20 year old female patient who on 07-AUG-2006 was vaccinated intramuscularly with her first dose of HPV rLi 6 11 16 18 VLP vaccine (yeast) (lot#653650/0702F). Concomitant therapy included drospirenone (+) ethinyl estr"adiol estradiol (YAZ). The patient stated that /"right "right after getting the shot/" shot" she experienced pain in the upper arm on and off throughout the day. She also stated that the pain/"feels pain"feels like she has a knife in her arm/". arm". Unspecified medical attention was sought. The patient was treated with Ibuprofen. As of the report date, she was recovering. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=263227&WAYBACKHISTORY=ON


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