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This is VAERS ID 265372

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 265372
Age:24.0
Gender:Female
Location:California
Vaccinated:2006-10-06
Onset:2006-10-06
Submitted:2006-10-23
Entered:2006-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Eye swelling, Pruritus, Vision blurred

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

Write-up:Information has been received from a physician concerning a 24 year old female pt with no known allergies or reportable medical history who on 10/6/06 was vaccinated IM with a 0.5ml dose of HPV. Several hours later, on 10/6/06 the pt called the office wit"h complaints of swollen puffy eyes, some itching but no rash and blurry vision. The pt was seen in the office that evening on 10/6/06 and was given a dose of Benadryl and was sent home. The pt took a nap for the blurry vision and upon awakening the next m


Changed on 12/8/2009

VAERS ID: 265372 Before After
Age:24.0
Gender:Female
Location:California
Vaccinated:2006-10-06
Onset:2006-10-06
Submitted:2006-10-23
Entered:2006-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Eye swelling, Pruritus, Vision blurred

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0610USA09738

Write-up:Information has been received from a physician concerning a 24 year old female pt with no known allergies or reportable medical history who on 10/6/06 was vaccinated IM with a 0.5ml dose of HPV. Several hours later, on 10/6/06 the pt called the office wit"h with complaints of swollen puffy eyes, some itching but no rash and blurry vision. The pt was seen in the office that evening on 10/6/06 and was given a dose of Benadryl and was sent home. The pt took a nap for the blurry vision and upon awakening the next m morning the pt fully recovered. Blurry vision was considered to be disabling according to the physician since the pt was unable to perform her normal task. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=265372&WAYBACKHISTORY=ON


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