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This is VAERS ID 267422

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 267422
Age:26.0
Gender:Female
Location:Florida
Vaccinated:2006-09-27
Onset:2006-09-27
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0688F / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site pain, Pain, Pyrexia, Contusion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: VICODIN TABLETS; OVCON 35; SKELAXIN
Current Illness:
Preexisting Conditions: Migraine; Sulfonamide allergy; Drug hypersensitivity
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a 26 year old female medical assistant (not CMA) with migraines, sulfonamide allergy and drug hypersensitivity to over the counter cold medications, who on 27-SEP-2006, was vaccinated IM with a 0.5ml dose of HPV (lot # 6"53735/0688F). Concomitant therapy included ethinyl estradiol/norethindrone (OVCON 35), netaxalone (SKELAXIN) and acetaminophen/hydrocodone bitartrate (VICODIN TABLETS). On 27-SEP-2006, the patient experienced severe pain at the injection site while the me


Changed on 12/8/2009

VAERS ID: 267422 Before After
Age:26.0
Gender:Female
Location:Florida
Vaccinated:2006-09-27
Onset:2006-09-27
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0688F / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site pain, Pain, Pyrexia, Contusion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: VICODIN TABLETS; OVCON 35; SKELAXIN
Current Illness:
Preexisting Conditions: Migraine; Sulfonamide allergy; Drug hypersensitivity
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0610USA04983

Write-up:Information has been received from a 26 year old female medical assistant (not CMA) with migraines, sulfonamide allergy and drug hypersensitivity to over the counter cold medications, who on 27-SEP-2006, was vaccinated IM with a 0.5ml dose of HPV (lot # 6"53735/0688F). 653735/0688F). Concomitant therapy included ethinyl estradiol/norethindrone (OVCON 35), netaxalone (SKELAXIN) and acetaminophen/hydrocodone bitartrate (VICODIN TABLETS). On 27-SEP-2006, the patient experienced severe pain at the injection site while the me medication was being injected. The medical assistant also reported the pain as a sore bruised feeling that lasted for 4 to 5 days. On approximately 27-SEP-2006, the patient also experienced slight fever for 4 to 5 days. On 04-OCT-2006, she had physical therapy and the sore bruised feeling came back. Subsequently, the medical assistant recovered, however it was unknown if she recovered from the sore bruised feeling that came back on 04-OCT-2006. There was no product quality complaint involved. The patient sought unspecified medical attention. Additional information has been requested.


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