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This is VAERS ID 264742

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 264742
Age:22.0
Gender:Female
Location:Maryland
Vaccinated:2006-09-12
Onset:2006-09-12
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0702F / - UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Hypoaesthesia

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

Write-up:Information has been received from a physician concerning a 22 year old female pt who on 9/12/06 was vaccinated IM into the upper left buttock with a dose of HPV rL1 6 11 16 18 VLP vaccine yeast, lot 653650/0702F. there was no concomitant medication. Appr"ox one hour post vaccination the pt experienced numbness and tingling on the right side of her face. medial attention was sought. No other symptoms were noted. As of the report date, the pt was recovering. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 264742 Before After
Age:22.0
Gender:Female
Location:Maryland
Vaccinated:2006-09-12
Onset:2006-09-12
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. 0702F / - UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Hypoaesthesia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0609USA02498

Write-up:Information has been received from a physician concerning a 22 year old female pt who on 9/12/06 was vaccinated IM into the upper left buttock with a dose of HPV rL1 6 11 16 18 VLP vaccine yeast, lot 653650/0702F. there was no concomitant medication. Appr"ox Approx one hour post vaccination the pt experienced numbness and tingling on the right side of her face. medial attention was sought. No other symptoms were noted. As of the report date, the pt was recovering. Additional information has been requested.


Changed on 1/5/2010

VAERS ID: 264742 Before After
Age:22.0
Gender:Female
Location:Maryland
Vaccinated:2006-09-12
Onset:2006-09-12
Submitted:2006-10-13 2007-01-05
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / - 1 UN / IM

Administered by: Other Private      Purchased by: Other
Symptoms: Hypoaesthesia, Paraesthesia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0609USA02498

Write-up:Information has been received from a physician concerning a 22 year old female pt who on 9/12/06 was vaccinated IM into the upper left buttock with a dose of HPV rL1 6 11 16 18 VLP vaccine yeast, lot 653650/0702F. there was no concomitant medication. Approx one hour post vaccination the pt experienced numbness and tingling on the right side of her face. medial attention was sought. No other symptoms were noted. As of the report date, the pt was recovering. Additional information has been requested. This is in follow-up to report (s) previously submitted on 10/13/2006. Information has been received from a physician concerning a 22 year old female patient who on 12-SEP-2006 was vaccinated IM into the upper left buttock with a dose of GARDASIL lot #653650/0702F. There was no concomitant medication. Approximately one hour post vaccination the patient experienced numbness and tingling on the right side of her face. Medical attention was sought. No other symptoms were noted. As of the report date, the patient was recovering. Follow up information has been received concerning the 22 year old white female with no medical history who on the morning of 12-SEP-2006 was vaccinated IM into the upper left buttock with her second dose of GARDASIL, lot #653650/0702F. It was reported that right facial numbness developed within 1 hour after the injection. No diagnostic/laboratory tests were performed. The patient was reported to be recovered from right facial numbness. Additional information is not expected.


Changed on 7/31/2010

VAERS ID: 264742 Before After
Age:22.0
Gender:Female
Location:Maryland
Vaccinated:2006-09-12
Onset:2006-09-12
Submitted:2007-01-05
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Drug administered at inappropriate site, Hypoaesthesia, Paraesthesia, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0609USA02498

Write-up:Information has been received from a physician concerning a 22 year old female pt who on 9/12/06 was vaccinated IM into the upper left buttock with a dose of HPV rL1 6 11 16 18 VLP vaccine yeast, lot 653650/0702F. there was no concomitant medication. Approx one hour post vaccination the pt experienced numbness and tingling on the right side of her face. medial attention was sought. No other symptoms were noted. As of the report date, the pt was recovering. Additional information has been requested. This is in follow-up to report (s) previously submitted on 10/13/2006. Information has been received from a physician concerning a 22 year old female patient who on 12-SEP-2006 was vaccinated IM into the upper left buttock with a dose of GARDASIL lot #653650/0702F. There was no concomitant medication. Approximately one hour post vaccination the patient experienced numbness and tingling on the right side of her face. Medical attention was sought. No other symptoms were noted. As of the report date, the patient was recovering. Follow up information has been received concerning the 22 year old white female with no medical history who on the morning of 12-SEP-2006 was vaccinated IM into the upper left buttock with her second dose of GARDASIL, lot #653650/0702F. It was reported that right facial numbness developed within 1 hour after the injection. No diagnostic/laboratory tests were performed. The patient was reported to be recovered from right facial numbness. Additional information is not expected.


Changed on 2/13/2013

VAERS ID: 264742 Before After
Age:22.0
Gender:Female
Location:Maryland
Vaccinated:2006-09-12
Onset:2006-09-12
Submitted:2007-01-05
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 1 UN GM / IM

Administered by: Private      Purchased by: Other
Symptoms: Drug administered at inappropriate site, Hypoaesthesia, Paraesthesia, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0609USA02498

Write-up:Information has been received from a physician concerning a 22 year old female pt who on 9/12/06 was vaccinated IM into the upper left buttock with a dose of HPV rL1 6 11 16 18 VLP vaccine yeast, GARDASIL, lot 653650/0702F. there There was no concomitant medication. Approx one hour post vaccination the pt experienced numbness and tingling on the right side of her face. medial Medical attention was sought. No other symptoms were noted. As of the report date, the pt was recovering. Additional information has been requested. This is in follow-up to report (s) previously submitted on 10/13/2006. Information has been received from a physician concerning a 22 year old female patient who on 12-SEP-2006 was vaccinated IM into the upper left buttock with a dose of GARDASIL lot #653650/0702F. There was no concomitant medication. Approximately one hour post vaccination the patient experienced numbness and tingling on the right side of her face. Medical attention was sought. No other symptoms were noted. As of the report date, the patient was recovering. Follow up information has been received concerning the 22 year old white female with no medical history who on the morning of 12-SEP-2006 was vaccinated IM into the upper left buttock with her second dose of GARDASIL, lot #653650/0702F. It was reported that right facial numbness developed within 1 hour after the injection. No diagnostic/laboratory tests were performed. The patient was reported to be recovered from right facial numbness. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 264742 Before After
Age:22.0
Gender:Female
Location:Maryland
Vaccinated:2006-09-12
Onset:2006-09-12
Submitted:2007-01-05
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 1 GM / IM

Administered by: Private      Purchased by: Other
Symptoms: Drug administered at inappropriate site, Hypoaesthesia, Paraesthesia, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0609USA02498

Write-up:Information has been received from a physician concerning a 22 year old female pt who on 9/12/06 was vaccinated IM into the upper left buttock with a dose of GARDASIL, lot 653650/0702F. There was no concomitant medication. Approx one hour post vaccination the pt experienced numbness and tingling on the right side of her face. Medical attention was sought. No other symptoms were noted. As of the report date, the pt was recovering. Additional information has been requested. This is in follow-up to report (s) previously submitted on 10/13/2006. Information has been received from a physician concerning a 22 year old female patient who on 12-SEP-2006 was vaccinated IM into the upper left buttock with a dose of GARDASIL lot #653650/0702F. There was no concomitant medication. Approximately one hour post vaccination the patient experienced numbness and tingling on the right side of her face. Medical attention was sought. No other symptoms were noted. As of the report date, the patient was recovering. Follow up information has been received concerning the 22 year old female with no medical history who on the morning of 12-SEP-2006 was vaccinated IM into the upper left buttock with her second dose of GARDASIL, lot #653650/0702F. It was reported that right facial numbness developed within 1 hour after the injection. No diagnostic/laboratory tests were performed. The patient was reported to be recovered from right facial numbness. Additional information is not expected.


Changed on 3/14/2015

VAERS ID: 264742 Before After
Age:22.0
Gender:Female
Location:Maryland
Vaccinated:2006-09-12
Onset:2006-09-12
Submitted:2007-01-05
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 1 GM / IM

Administered by: Private      Purchased by: Other
Symptoms: Drug administered at inappropriate site, Hypoaesthesia, Paraesthesia, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0609USA02498

Write-up:Information has been received from a physician concerning a 22 year old female pt who on 9/12/06 was vaccinated IM into the upper left buttock with a dose of GARDASIL, lot 653650/0702F. There was no concomitant medication. Approx one hour post vaccination the pt experienced numbness and tingling on the right side of her face. Medical attention was sought. No other symptoms were noted. As of the report date, the pt was recovering. Additional information has been requested. This is in follow-up to report (s) previously submitted on 10/13/2006. Information has been received from a physician concerning a 22 year old female patient who on 12-SEP-2006 was vaccinated IM into the upper left buttock with a dose of GARDASIL lot #653650/0702F. There was no concomitant medication. Approximately one hour post vaccination the patient experienced numbness and tingling on the right side of her face. Medical attention was sought. No other symptoms were noted. As of the report date, the patient was recovering. Follow up information has been received concerning the 22 year old female with no medical history who on the morning of 12-SEP-2006 was vaccinated IM into the upper left buttock with her second dose of GARDASIL, lot #653650/0702F. It was reported that right facial numbness developed within 1 hour after the injection. No diagnostic/laboratory tests were performed. The patient was reported to be recovered from right facial numbness. Additional information is not expected.


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