First Appeared on 12/30/2006 |
| VAERS ID: |
264770
|
Vaccinated: |
0000-00-00 |
| Age: |
15.0 |
Onset: |
0000-00-00 |
| Gender: |
Female |
Submitted: |
2006-10-13 |
| Location: |
Maryland |
Entered: |
2006-10-17 |
|
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? No |
| ER or Doctor Visit? Yes |
| Hospitalized? No |
| Previous Vaccinations: |
| Other Medications: UNK |
| Current Illness: |
| Preexisting Conditions: UNK |
| Diagnostic Lab Data: UNK |
| CDC 'Split Type': |
|
| Vaccination |
Manufacturer |
Lot |
Dose |
Route |
Site |
| HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) |
MERCK & CO. INC. |
|
|
|
|
|
| Administered by: Other
Purchased by: Unknown |
| Symptoms: Pain |
| Write-up: Information has been received from a certified medical assistant concerning a female patient between the age of 15 to 18 who was vaccinated with a dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). Subsequently, the patient complained of stinging. It was not"ed that the stinging was only for a moment and resolved quickly. The reporter felt that the stinging could be from the vaccine being cold. No other problems were noted with the administration. Unspecified medical attention was sought. No product quality c |
|
|
Changed on 12/8/2009 |
| VAERS ID: |
264770 Before
After
|
Vaccinated: |
0000-00-00 |
| Age: |
15.0 |
Onset: |
0000-00-00 |
| Gender: |
Female |
Submitted: |
2006-10-13 |
| Location: |
Maryland |
Entered: |
2006-10-17 |
|
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? No |
| ER or Doctor Visit? Yes |
| Hospitalized? No |
| Previous Vaccinations: |
| Other Medications: UNK |
| Current Illness: |
| Preexisting Conditions: UNK |
| Diagnostic Lab Data: UNK |
CDC 'Split Type':
(blank)
WAES0609USA07372 |
|
| Vaccination |
Manufacturer |
Lot |
Dose |
Route |
Site |
| HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL)/HPV (GARDASIL) |
MERCK & CO. INC. |
|
|
|
|
|
| Administered by: Other
Purchased by: Unknown/Other |
| Symptoms: Pain |
Write-up:
Information has been received from a certified medical assistant concerning a female patient between the age of 15 to 18 who was vaccinated with a dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). Subsequently, the patient complained of stinging. It was not"ed noted that the stinging was only for a moment and resolved quickly. The reporter felt that the stinging could be from the vaccine being cold. No other problems were noted with the administration. Unspecified medical attention was sought. No product quality c complaint was involved. Additional information has been requested.
|
|
|
