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This is VAERS ID 266774

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 266774
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
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz, Zoloft, Bactrim DS
Current Illness: None
Preexisting Conditions: Depression
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

VAERS ID: 266774 Before After
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
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz, Zoloft, Bactrim DS
Current Illness: None
Preexisting Conditions: Depression
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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Link To This Search Result:

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


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