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This is VAERS ID 264367

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 264367
Age:
Gender:Female
Location:Unknown
Vaccinated:2006-09-01
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. 0702F / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
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 nurse concerning a female who on 01 Sep 2006 was vaccinated intramuscularly with HPV rLi 6 11 16 18 VLP vaccine (yeast) (lot#653650/0702P). The nurse reported that she was very unhappy with the syringe. The nurse rep"orted that she /"had received no instructions, and upon using the syringe for the first time, the safety device activated as soon as she pushed all the way down on the plunger, and it hit the patient in the arm/". The nurse also reported that she had not


Changed on 12/8/2009

VAERS ID: 264367 Before After
Age:
Gender:Female
Location:Unknown
Vaccinated:2006-09-01
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. 0702F / - - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
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) WAES0609USA00663

Write-up:Information has been received from a nurse concerning a female who on 01 Sep 2006 was vaccinated intramuscularly with HPV rLi 6 11 16 18 VLP vaccine (yeast) (lot#653650/0702P). The nurse reported that she was very unhappy with the syringe. The nurse rep"orted reported that she /"had "had received no instructions, and upon using the syringe for the first time, the safety device activated as soon as she pushed all the way down on the plunger, and it hit the patient in the arm/". arm". The nurse also reported that she had not read the product insert prior to administering the vaccine, as it was not available in the carton, and as soon as she administered the full dose of vaccine, she immediately let go of the plunger. She also reported that "it was loud, which scared the patient, and the needle coil sprang out and hurt the patient. The patient was kept in the office longer than normal since the coil hit the patient against her arm and hurt her. Unspecified medical attention was sought. The nurse was able to administer the entire dose of vaccine. On 05-Sep-2006 the patient had recovered.


Changed on 12/13/2013

VAERS ID: 264367 Before After
Age:
Gender:Female
Location:Unknown
Vaccinated:2006-09-01
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 / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0609USA00663

Write-up:Information has been received from a nurse concerning a female who on 01 Sep 2006 was vaccinated intramuscularly with HPV rLi 6 11 16 18 VLP vaccine (yeast) (lot#653650/0702P). The nurse reported that she was very unhappy with the syringe. The nurse reported that she "had received no instructions, and upon using the syringe for the first time, the safety device activated as soon as she pushed all the way down on the plunger, and it hit the patient in the arm". The nurse also reported that she had not read the product insert prior to administering the vaccine, as it was not available in the carton, and as soon as she administered the full dose of vaccine, she immediately let go of the plunger. She also reported that "it was loud, which scared the patient, and the needle coil sprang out and hurt the patient. The patient was kept in the office longer than normal since the coil hit the patient against her arm and hurt her. Unspecified medical attention was sought. The nurse was able to administer the entire dose of vaccine. On 05-Sep-2006 the patient had recovered.


Changed on 6/14/2014

VAERS ID: 264367 Before After
Age:
Gender:Female
Location:Unknown
Vaccinated:2006-09-01
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 / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0609USA00663

Write-up:Information has been received from a nurse concerning a female who on 01 Sep 2006 was vaccinated intramuscularly with HPV rLi 6 11 16 18 VLP vaccine (yeast) (lot#653650/0702P). The nurse reported that she was very unhappy with the syringe. The nurse reported that she "had received no instructions, and upon using the syringe for the first time, the safety device activated as soon as she pushed all the way down on the plunger, and it hit the patient in the arm". The nurse also reported that she had not read the product insert prior to administering the vaccine, as it was not available in the carton, and as soon as she administered the full dose of vaccine, she immediately let go of the plunger. She also reported that "it was loud, which scared the patient, and the needle coil sprang out and hurt the patient. The patient was kept in the office longer than normal since the coil hit the patient against her arm and hurt her. Unspecified medical attention was sought. The nurse was able to administer the entire dose of vaccine. On 05-Sep-2006 the patient had recovered.


Changed on 3/14/2015

VAERS ID: 264367 Before After
Age:
Gender:Female
Location:Unknown
Vaccinated:2006-09-01
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 / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0609USA00663

Write-up:Information has been received from a nurse concerning a female who on 01 Sep 2006 was vaccinated intramuscularly with HPV rLi 6 11 16 18 VLP vaccine (yeast) (lot#653650/0702P). The nurse reported that she was very unhappy with the syringe. The nurse reported that she "had received no instructions, and upon using the syringe for the first time, the safety device activated as soon as she pushed all the way down on the plunger, and it hit the patient in the arm". The nurse also reported that she had not read the product insert prior to administering the vaccine, as it was not available in the carton, and as soon as she administered the full dose of vaccine, she immediately let go of the plunger. She also reported that "it was loud, which scared the patient, and the needle coil sprang out and hurt the patient. The patient was kept in the office longer than normal since the coil hit the patient against her arm and hurt her. Unspecified medical attention was sought. The nurse was able to administer the entire dose of vaccine. On 05-Sep-2006 the patient had recovered.


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