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This is VAERS ID 263332

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

263332
VAERS Form:
Age:12.0
Gender:Female
Location:Wisconsin
Vaccinated:2006-09-18
Onset:2006-09-19
Submitted:2006-09-20
Entered:2006-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0688F / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Pain

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Right hypothenar eminence (thumb) started aching approximately 24 hours after shot administered, then the right wrist ached badly (i.e arthralgia). No other etiology of pain identified. Anaprox DS (Naproxen) and split provided.


Changed on 12/8/2009

263332 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Wisconsin
Vaccinated:2006-09-18
Onset:2006-09-19
Submitted:2006-09-20
Entered:2006-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 RA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Arthralgia, Pain

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Right hypothenar eminence (thumb) started aching approximately 24 hours after shot administered, then the right wrist ached badly (i.e arthralgia). No other etiology of pain identified. Anaprox DS (Naproxen) and split provided.


Changed on 6/14/2014

263332 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Wisconsin
Vaccinated:2006-09-18
Onset:2006-09-19
Submitted:2006-09-20
Entered:2006-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 RA / IM

Administered by: Private      Purchased by: Public
Symptoms: Arthralgia, Pain

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Right hypothenar eminence (thumb) started aching approximately 24 hours after shot administered, then the right wrist ached badly (i.e arthralgia). No other etiology of pain identified. Anaprox DS (Naproxen) and split provided.


Changed on 5/14/2017

263332 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Wisconsin
Vaccinated:2006-09-18
Onset:2006-09-19
Submitted:2006-09-20
Entered:2006-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 RA / IM

Administered by: Private      Purchased by: Public
Symptoms: Arthralgia, Pain

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Right hypothenar eminence (thumb) started aching approximately 24 hours after shot administered, then the right wrist ached badly (i.e arthralgia). No other etiology of pain identified. Anaprox DS (Naproxen) and split provided.


Changed on 9/14/2017

263332 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Wisconsin
Vaccinated:2006-09-18
Onset:2006-09-19
Submitted:2006-09-20
Entered:2006-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 1 RA / IM

Administered by: Private      Purchased by: Public
Symptoms: Arthralgia, Pain

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Right hypothenar eminence (thumb) started aching approximately 24 hours after shot administered, then the right wrist ached badly (i.e arthralgia). No other etiology of pain identified. Anaprox DS (Naproxen) and split provided.


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