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This is VAERS ID 267450

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 267450
Age:27.0
Gender:Female
Location:California
Vaccinated:2006-10-03
Onset:2006-10-12
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Pain

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:
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 27 year old female who on 10/3/06 was vaccinated with the first dose of HPV Vaccine (lot nor provided). On 10/12/06 the pt experienced a very sore arm. The physician advised the pt to take Advil"and apply ice to the area. At the time of the report it was unk if the pt had recovered. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 267450 Before After
Age:27.0
Gender:Female
Location:California
Vaccinated:2006-10-03
Onset:2006-10-12
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. - / - UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Pain

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:
CDC 'Split Type': (blank) WAES0610USA12097

Write-up:Information has been received from a physician concerning a 27 year old female who on 10/3/06 was vaccinated with the first dose of HPV Vaccine (lot nor provided). On 10/12/06 the pt experienced a very sore arm. The physician advised the pt to take Advil"and Advil and apply ice to the area. At the time of the report it was unk if the pt had recovered. Additional information has been requested.


Changed on 1/5/2010

VAERS ID: 267450 Before After
Age:27.0
Gender:Female
Location:California
Vaccinated:2006-10-03
Onset:2006-10-12
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Pain

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:
CDC 'Split Type': WAES0610USA12097

Write-up:Information has been received from a physician concerning a 27 year old female who on 10/3/06 was vaccinated with the first dose of HPV Vaccine (lot nor provided). On 10/12/06 the pt experienced a very sore arm. The physician advised the pt to take Advil and apply ice to the area. At the time of the report it was unk if the pt had recovered. Additional information has been requested. Follow up information received stated that as appriximately 03-NOV-2006 the patient recovered from the event.


Changed on 7/31/2010

VAERS ID: 267450 Before After
Age:27.0
Gender:Female
Location:California
Vaccinated:2006-10-03
Onset:2006-10-12
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain in extremity

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:
CDC 'Split Type': WAES0610USA12097

Write-up:Information has been received from a physician concerning a 27 year old female who on 10/3/06 was vaccinated with the first dose of HPV Vaccine (lot nor provided). On 10/12/06 the pt experienced a very sore arm. The physician advised the pt to take Advil and apply ice to the area. At the time of the report it was unk if the pt had recovered. Additional information has been requested. Follow up information received stated that as appriximately 03-NOV-2006 the patient recovered from the event.


Changed on 3/14/2014

VAERS ID: 267450 Before After
Age:27.0
Gender:Female
Location:California
Vaccinated:2006-10-03
Onset:2006-10-12
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0696F / - UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain in extremity

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:
CDC 'Split Type': WAES0610USA12097

Write-up:Information has been received from a physician concerning a 27 year old female who on 10/3/06 was vaccinated with the first dose of HPV Vaccine (lot nor provided). On 10/12/06 the pt experienced a very sore arm. The physician advised the pt to take Advil and apply ice to the area. At the time of the report it was unk if the pt had recovered. Additional information has been requested. Follow up information received stated that as appriximately 03-NOV-2006 the patient recovered from the event.


Changed on 6/14/2014

VAERS ID: 267450 Before After
Age:27.0
Gender:Female
Location:California
Vaccinated:2006-10-03
Onset:2006-10-12
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0696F / - UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain in extremity

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:
CDC 'Split Type': WAES0610USA12097

Write-up:Information has been received from a physician concerning a 27 year old female who on 10/3/06 was vaccinated with the first dose of HPV Vaccine (lot nor provided). On 10/12/06 the pt experienced a very sore arm. The physician advised the pt to take Advil and apply ice to the area. At the time of the report it was unk if the pt had recovered. Additional information has been requested. Follow up information received stated that as appriximately 03-NOV-2006 the patient recovered from the event.


Changed on 3/14/2015

VAERS ID: 267450 Before After
Age:27.0
Gender:Female
Location:California
Vaccinated:2006-10-03
Onset:2006-10-12
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0696F / - UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain in extremity

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:
CDC 'Split Type': WAES0610USA12097

Write-up:Information has been received from a physician concerning a 27 year old female who on 10/3/06 was vaccinated with the first dose of HPV Vaccine (lot nor provided). On 10/12/06 the pt experienced a very sore arm. The physician advised the pt to take Advil and apply ice to the area. At the time of the report it was unk if the pt had recovered. Additional information has been requested. Follow up information received stated that as appriximately 03-NOV-2006 the patient recovered from the event.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=267450&WAYBACKHISTORY=ON


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