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This is VAERS ID 264366

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 264366
Age:19.0
Gender:Female
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-10-06
Entered:2006-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site pain, Joint range of motion decreased

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: NONE
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 19 year old female who in early August 2006, was vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast) (0.5 ml). The physician reported that at the time of vaccination, the patient experienced"injection site pain. The patient later experienced decreased range of motion in the arm she received the vaccination. It was reported that the patient''''s arm hurt when she raised it above her head. At the time of this report, the patient''''s injection s


Changed on 12/8/2009

VAERS ID: 264366 Before After
Age:19.0
Gender:Female
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-10-06
Entered:2006-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site pain, Joint range of motion decreased

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: NONE
CDC 'Split Type': (blank) WAES0609USA00433

Write-up:Information has been received from a physician concerning a 19 year old female who in early August 2006, was vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast) (0.5 ml). The physician reported that at the time of vaccination, the patient experienced"injection experienced injection site pain. The patient later experienced decreased range of motion in the arm she received the vaccination. It was reported that the patient''''s patient''s arm hurt when she raised it above her head. At the time of this report, the patient''''s patient''s injection s site pain, decreased range of motion in arm pain persisted. Unspecified medical attention was sought. Additional information has been requested.


Changed on 3/14/2014

VAERS ID: 264366 Before After
Age:19.0
Gender:Female
Location:Texas
Vaccinated:0000-00-00 2006-08-10
Onset:0000-00-00
Submitted:2006-10-06
Entered:2006-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0702F / - UN / - UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, Joint range of motion decreased

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: NONE
CDC 'Split Type': WAES0609USA00433

Write-up:Information has been received from a physician concerning a 19 year old female who in early August 2006, was vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast) (0.5 ml). The physician reported that at the time of vaccination, the patient experienced injection site pain. The patient later experienced decreased range of motion in the arm she received the vaccination. It was reported that the patient''s arm hurt when she raised it above her head. At the time of this report, the patient''s injection site pain, decreased range of motion in arm pain persisted. Unspecified medical attention was sought. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 264366 Before After
Age:19.0
Gender:Female
Location:Texas
Vaccinated:2006-08-10
Onset:0000-00-00
Submitted:2006-10-06
Entered:2006-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, Joint range of motion decreased

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: NONE
CDC 'Split Type': WAES0609USA00433

Write-up:Information has been received from a physician concerning a 19 year old female who in early August 2006, was vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast) (0.5 ml). The physician reported that at the time of vaccination, the patient experienced injection site pain. The patient later experienced decreased range of motion in the arm she received the vaccination. It was reported that the patient''s arm hurt when she raised it above her head. At the time of this report, the patient''s injection site pain, decreased range of motion in arm pain persisted. Unspecified medical attention was sought. Additional information has been requested.


Changed on 3/14/2015

VAERS ID: 264366 Before After
Age:19.0
Gender:Female
Location:Texas
Vaccinated:2006-08-10
Onset:0000-00-00
Submitted:2006-10-06
Entered:2006-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, Joint range of motion decreased

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: NONE
CDC 'Split Type': WAES0609USA00433

Write-up:Information has been received from a physician concerning a 19 year old female who in early August 2006, was vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast) (0.5 ml). The physician reported that at the time of vaccination, the patient experienced injection site pain. The patient later experienced decreased range of motion in the arm she received the vaccination. It was reported that the patient''s arm hurt when she raised it above her head. At the time of this report, the patient''s injection site pain, decreased range of motion in arm pain persisted. Unspecified medical attention was sought. Additional information has been requested.


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