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This is VAERS ID 269178

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

269178
VAERS Form:
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-26
Onset:2006-10-26
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0800F / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Feeling abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a health professional concerning a 20 year old female who on 26-Oct-2006 was vaccinated /"in the right hip/" with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot#654540/0800F). Within 15 minutes, the patient"experienced a /"funny feeling/" in upper right thigh. The patient said /"the feeling was gone later that day/". No medical attention was sought. No product quality complaint was involved. Additional information has been requested.


Changed on 12/8/2009

269178 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-26
Onset:2006-10-26
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Feeling abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0611USA02584

Write-up:Information has been received from a health professional concerning a 20 year old female who on 26-Oct-2006 was vaccinated /"in "in the right hip/" hip" with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot#654540/0800F). Within 15 minutes, the patient"experienced patient experienced a /"funny feeling/" "funny feeling" in upper right thigh. The patient said /"the "the feeling was gone later that day/". day". No medical attention was sought. No product quality complaint was involved. Additional information has been requested.


Changed on 9/14/2017

269178 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-26
Onset:2006-10-26
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 1 UN / -

Administered by: Other      Purchased by: Other
Symptoms: Feeling abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA02584

Write-up:Information has been received from a health professional concerning a 20 year old female who on 26-Oct-2006 was vaccinated "in the right hip" with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot#654540/0800F). Within 15 minutes, the patient experienced a "funny feeling" in upper right thigh. The patient said "the feeling was gone later that day". No medical attention was sought. No product quality complaint was involved. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269178&WAYBACKHISTORY=ON


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