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This is VAERS ID 266774

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

266774
VAERS Form:
Age:20.0
Gender:Female
Location:Louisiana
Vaccinated:2006-10-12
Onset:2006-10-19
Submitted:2006-11-14
Entered:2006-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 08668F / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site pain, Shoulder pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Yaz, Zoloft, Bactrim DS
Current Illness: None
Preexisting Conditions: Depression
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient developed left shoulder pain at the deltoid corresponding to the site of injection. This began about 1 week after injection and has lasted for 3 weeks. It is 7/10 in severity and requires anti-inflammatories.


Changed on 12/8/2009

266774 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Louisiana
Vaccinated:2006-10-12
Onset:2006-10-19
Submitted:2006-11-14
Entered:2006-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 08668F / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site pain, Shoulder pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Yaz, Zoloft, Bactrim DS
Current Illness: None
Preexisting Conditions: Depression
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient developed left shoulder pain at the deltoid corresponding to the site of injection. This began about 1 week after injection and has lasted for 3 weeks. It is 7/10 in severity and requires anti-inflammatories.


Changed on 9/14/2017

266774 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:Louisiana
Vaccinated:2006-10-12
Onset:2006-10-19
Submitted:2006-11-14
Entered:2006-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 08668F / 0 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site pain, Shoulder pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Yaz, Zoloft, Bactrim DS
Current Illness: None
Preexisting Conditions: Depression
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient developed left shoulder pain at the deltoid corresponding to the site of injection. This began about 1 week after injection and has lasted for 3 weeks. It is 7/10 in severity and requires anti-inflammatories.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=266774&WAYBACKHISTORY=ON


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