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This is VAERS ID 268017

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 268017
Age:16.0
Gender:Female
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-11-29
Entered:2006-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0955F / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dyskinesia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed jerking in upper extremity a few hours after administration of vaccine. Patient was medicated with VALIUM which led to resolution of symptoms.


Changed on 12/8/2009

VAERS ID: 268017 Before After
Age:16.0
Gender:Female
Location:Tennessee
Vaccinated:0000-00-00 2006-09-27
Onset:0000-00-00 2006-09-27
Submitted:2006-11-29
Entered:2006-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dyskinesia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed jerking in upper extremity a few hours after administration of vaccine. Patient was medicated with VALIUM which led to resolution of symptoms.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=268017&WAYBACKHISTORY=ON


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