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This is VAERS ID 264741

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 264741
VAERS Form:
Age:
Gender:Female
Location:North Dakota
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Hypoaesthesia, Injection site pain, Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up: Information has been received from a licensed practical nurse concerning a female pt who on an unspecified date was vaccinated IM with HPV rL1 6 11 16 18 VLP vaccine yeast. Subsequently the pt experienced pain, numbness, and at tingly feeling all the way"down to her fingertips. The events occurred in the arm in which the pt received the vaccination. Unspecified medical attention was sought. The pt subsequently recovered from the events. Additional information has been requested.

Changed on 12/8/2009

VAERS ID: 264741 Before After
VAERS Form:
Age:
Gender:Female
Location:North Dakota
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Hypoaesthesia, Injection site pain, Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0609USA02251

Write-up: Information has been received from a licensed practical nurse concerning a female pt who on an unspecified date was vaccinated IM with HPV rL1 6 11 16 18 VLP vaccine yeast. Subsequently the pt experienced pain, numbness, and at tingly feeling all the way"down way down to her fingertips. The events occurred in the arm in which the pt received the vaccination. Unspecified medical attention was sought. The pt subsequently recovered from the events. Additional information has been requested.

Changed on 6/14/2014

VAERS ID: 264741 Before After
VAERS Form:
Age:
Gender:Female
Location:North Dakota
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Hypoaesthesia, Injection site pain, Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0609USA02251

Write-up: Information has been received from a licensed practical nurse concerning a female pt who on an unspecified date was vaccinated IM with HPV rL1 6 11 16 18 VLP vaccine yeast. Subsequently the pt experienced pain, numbness, and at tingly feeling all the way down to her fingertips. The events occurred in the arm in which the pt received the vaccination. Unspecified medical attention was sought. The pt subsequently recovered from the events. Additional information has been requested.

Changed on 3/14/2015

VAERS ID: 264741 Before After
VAERS Form:
Age:
Gender:Female
Location:North Dakota
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Hypoaesthesia, Injection site pain, Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0609USA02251

Write-up: Information has been received from a licensed practical nurse concerning a female pt who on an unspecified date was vaccinated IM with HPV rL1 6 11 16 18 VLP vaccine yeast. Subsequently the pt experienced pain, numbness, and at tingly feeling all the way down to her fingertips. The events occurred in the arm in which the pt received the vaccination. Unspecified medical attention was sought. The pt subsequently recovered from the events. Additional information has been requested.

Changed on 9/14/2017

VAERS ID: 264741 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:North Dakota
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Hypoaesthesia, Injection site pain, Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0609USA02251

Write-up: Information has been received from a licensed practical nurse concerning a female pt who on an unspecified date was vaccinated IM with HPV rL1 6 11 16 18 VLP vaccine yeast. Subsequently the pt experienced pain, numbness, and at tingly feeling all the way down to her fingertips. The events occurred in the arm in which the pt received the vaccination. Unspecified medical attention was sought. The pt subsequently recovered from the events. Additional information has been requested.

Changed on 2/14/2018

VAERS ID: 264741 Before After
VAERS Form:1
Age:
Gender:Female
Location:North Dakota
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Hypoaesthesia, Injection site pain, Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0609USA02251

Write-up: Information has been received from a licensed practical nurse concerning a female pt who on an unspecified date was vaccinated IM with HPV rL1 6 11 16 18 VLP vaccine yeast. Subsequently the pt experienced pain, numbness, and at tingly feeling all the way down to her fingertips. The events occurred in the arm in which the pt received the vaccination. Unspecified medical attention was sought. The pt subsequently recovered from the events. Additional information has been requested.

Changed on 6/14/2018

VAERS ID: 264741 Before After
VAERS Form:1
Age:
Gender:Female
Location:North Dakota
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Hypoaesthesia, Injection site pain, Pain, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0609USA02251

Write-up: Information has been received from a licensed practical nurse concerning a female pt who on an unspecified date was vaccinated IM with HPV rL1 6 11 16 18 VLP vaccine yeast. Subsequently the pt experienced pain, numbness, and at tingly feeling all the way down to her fingertips. The events occurred in the arm in which the pt received the vaccination. Unspecified medical attention was sought. The pt subsequently recovered from the events. Additional information has been requested.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=264741&WAYBACKHISTORY=ON


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