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This is VAERS ID 267957

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

267957
VAERS Form:
Age:15.0
Gender:Female
Location:New York
Vaccinated:2006-09-18
Onset:2006-10-02
Submitted:2006-11-19
Entered:2006-11-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Hypoaesthesia, Injection site pain, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Mild Pulmonary Valve stenosis, stable.
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Left arm pain, numbness from elbow to entire hand, started about 2 week safer receiving Gardasil in that arm. Pain is intermittent and 5-10 in intensity. She dose have other symptoms of abdominal pain, and right arm pain, so it is unclear whether vaccine"is a factor.


Changed on 12/8/2009

267957 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:New York
Vaccinated:2006-09-18
Onset:2006-10-02
Submitted:2006-11-19
Entered:2006-11-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Abdominal pain, Hypoaesthesia, Injection site pain, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Mild Pulmonary Valve stenosis, stable.
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Left arm pain, numbness from elbow to entire hand, started about 2 week safer receiving Gardasil in that arm. Pain is intermittent and 5-10 in intensity. She dose have other symptoms of abdominal pain, and right arm pain, so it is unclear whether vaccine"is vaccine is a factor.


Changed on 9/14/2017

267957 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:New York
Vaccinated:2006-09-18
Onset:2006-10-02
Submitted:2006-11-19
Entered:2006-11-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain, Hypoaesthesia, Injection site pain, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Mild Pulmonary Valve stenosis, stable.
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Left arm pain, numbness from elbow to entire hand, started about 2 week safer receiving Gardasil in that arm. Pain is intermittent and 5-10 in intensity. She dose have other symptoms of abdominal pain, and right arm pain, so it is unclear whether vaccine is a factor.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=267957&WAYBACKHISTORY=ON


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