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This is VAERS ID 269198

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 269198
Age:11.0
Gender:Female
Location:New York
Vaccinated:2006-11-01
Onset:2006-11-09
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0954F / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Cellulitis

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

Write-up:Information has been received from a physician concerning a 11 year old female who on 01-Nov-2006 was vaccinated with a 0.5 ml first dose of Gardasil (yeast) (lot #653938/0954F). On 09 Nov 2006 the patient developed cellulitis in the arm where vaccine was"administered. Unspecified medical attention was sought. At the time of the report, the patient was recovering from the cellulitis. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 269198 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2006-11-01
Onset:2006-11-09
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. 0954F / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Cellulitis

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0611USA04358

Write-up:Information has been received from a physician concerning a 11 year old female who on 01-Nov-2006 was vaccinated with a 0.5 ml first dose of Gardasil (yeast) (lot #653938/0954F). On 09 Nov 2006 the patient developed cellulitis in the arm where vaccine was"administered. was administered. Unspecified medical attention was sought. At the time of the report, the patient was recovering from the cellulitis. Additional information has been requested.


Changed on 1/5/2010

VAERS ID: 269198 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2006-11-01
Onset:2006-11-09
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Cellulitis

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA04358

Write-up:Information has been received from a physician concerning a 11 year old female who on 01-Nov-2006 was vaccinated with a 0.5 ml first dose of Gardasil (yeast) (lot #653938/0954F). On 09 Nov 2006 the patient developed cellulitis in the arm where vaccine was administered. Unspecified medical attention was sought. At the time of the report, the patient was recovering from the cellulitis. Additional information has been requested. This is in follow-up to report9s0 previously submitted on 12/14/2006. Entitle and follow-up information has been received from a physician concerning a 11 year old female student with a cephalosporin allergy who on 01-NOV-2006 was vaccinated with a 0.5 ml first dose of GRDASIL (lot # 653938/0954F). On 09-NOV-2006 the patient developed cellulites in the arm where vaccine was administrated. The patient''s arm was red, hot, swollen, painful and tender. The patient sought medical attention. A complete blood cell count and x-ray were performed (results in reported). It was reported that the patient had an allergic reaction to cephalexin "once started." Subsequently, the patient recovered from cellulites. Follow-up information reported the physician considered cellulites to be disabling event. Additional information has been requested.


Changed on 7/31/2010

VAERS ID: 269198 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2006-11-01
Onset:2006-11-09
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Drug hypersensitivity, Erythema, Oedema peripheral, Pain in extremity, Skin warm, Tenderness, Injection site cellulitis

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA04358

Write-up:Information has been received from a physician concerning a 11 year old female who on 01-Nov-2006 was vaccinated with a 0.5 ml first dose of Gardasil (yeast) (lot #653938/0954F). On 09 Nov 2006 the patient developed cellulitis in the arm where vaccine was administered. Unspecified medical attention was sought. At the time of the report, the patient was recovering from the cellulitis. Additional information has been requested. This is in follow-up to report9s0 previously submitted on 12/14/2006. Entitle and follow-up information has been received from a physician concerning a 11 year old female student with a cephalosporin allergy who on 01-NOV-2006 was vaccinated with a 0.5 ml first dose of GRDASIL (lot # 653938/0954F). On 09-NOV-2006 the patient developed cellulites in the arm where vaccine was administrated. The patient''s arm was red, hot, swollen, painful and tender. The patient sought medical attention. A complete blood cell count and x-ray were performed (results in reported). It was reported that the patient had an allergic reaction to cephalexin "once started." Subsequently, the patient recovered from cellulites. Follow-up information reported the physician considered cellulites to be disabling event. Additional information has been requested.


Changed on 8/31/2010

VAERS ID: 269198 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2006-11-01
Onset:2006-11-09
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Cellulitis, Drug hypersensitivity, Erythema, Oedema peripheral, Pain in extremity, Skin warm, Tenderness, Injection site cellulitis

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA04358

Write-up:Information has been received from a physician concerning a 11 year old female who on 01-Nov-2006 was vaccinated with a 0.5 ml first dose of Gardasil (yeast) (lot #653938/0954F). On 09 Nov 2006 the patient developed cellulitis in the arm where vaccine was administered. Unspecified medical attention was sought. At the time of the report, the patient was recovering from the cellulitis. Additional information has been requested. This is in follow-up to report9s0 previously submitted on 12/14/2006. Entitle and follow-up information has been received from a physician concerning a 11 year old female student with a cephalosporin allergy who on 01-NOV-2006 was vaccinated with a 0.5 ml first dose of GRDASIL (lot # 653938/0954F). On 09-NOV-2006 the patient developed cellulites in the arm where vaccine was administrated. The patient''s arm was red, hot, swollen, painful and tender. The patient sought medical attention. A complete blood cell count and x-ray were performed (results in reported). It was reported that the patient had an allergic reaction to cephalexin "once started." Subsequently, the patient recovered from cellulites. Follow-up information reported the physician considered cellulites to be disabling event. Additional information has been requested.


Changed on 1/4/2011

VAERS ID: 269198 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2006-11-01
Onset:2006-11-09
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Cellulitis, Drug hypersensitivity, Erythema, Oedema peripheral, Pain in extremity, Skin warm, Tenderness, Injection site cellulitis

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA04358

Write-up:Information has been received from a physician concerning a 11 year old female who on 01-Nov-2006 was vaccinated with a 0.5 ml first dose of Gardasil (yeast) (lot #653938/0954F). On 09 Nov 2006 the patient developed cellulitis in the arm where vaccine was administered. Unspecified medical attention was sought. At the time of the report, the patient was recovering from the cellulitis. Additional information has been requested. This is in follow-up to report9s0 previously submitted on 12/14/2006. Entitle and follow-up information has been received from a physician concerning a 11 year old female student with a cephalosporin allergy who on 01-NOV-2006 was vaccinated with a 0.5 ml first dose of GRDASIL (lot # 653938/0954F). On 09-NOV-2006 the patient developed cellulites in the arm where vaccine was administrated. The patient''s arm was red, hot, swollen, painful and tender. The patient sought medical attention. A complete blood cell count and x-ray were performed (results in reported). It was reported that the patient had an allergic reaction to cephalexin "once started." Subsequently, the patient recovered from cellulites. Follow-up information reported the physician considered cellulites to be disabling event. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 269198 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2006-11-01
Onset:2006-11-09
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Drug hypersensitivity, Erythema, Oedema peripheral, Pain in extremity, Skin warm, Tenderness, Injection site cellulitis

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA04358

Write-up:Information has been received from a physician concerning a 11 year old female who on 01-Nov-2006 was vaccinated with a 0.5 ml first dose of Gardasil (yeast) (lot #653938/0954F). On 09 Nov 2006 the patient developed cellulitis in the arm where vaccine was administered. Unspecified medical attention was sought. At the time of the report, the patient was recovering from the cellulitis. Additional information has been requested. This is in follow-up to report9s0 previously submitted on 12/14/2006. Entitle and follow-up information has been received from a physician concerning a 11 year old female student with a cephalosporin allergy who on 01-NOV-2006 was vaccinated with a 0.5 ml first dose of GRDASIL (lot # 653938/0954F). On 09-NOV-2006 the patient developed cellulites in the arm where vaccine was administrated. The patient''s arm was red, hot, swollen, painful and tender. The patient sought medical attention. A complete blood cell count and x-ray were performed (results in reported). It was reported that the patient had an allergic reaction to cephalexin "once started." Subsequently, the patient recovered from cellulites. Follow-up information reported the physician considered cellulites to be disabling event. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 269198 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2006-11-01
Onset:2006-11-09
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Drug hypersensitivity, Erythema, Oedema peripheral, Pain in extremity, Skin warm, Tenderness, Injection site cellulitis

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA04358

Write-up:Information has been received from a physician concerning a 11 year old female who on 01-Nov-2006 was vaccinated with a 0.5 ml first dose of Gardasil (yeast) (lot #653938/0954F). On 09 Nov 2006 the patient developed cellulitis in the arm where vaccine was administered. Unspecified medical attention was sought. At the time of the report, the patient was recovering from the cellulitis. Additional information has been requested. This is in follow-up to report9s0 previously submitted on 12/14/2006. Entitle and follow-up information has been received from a physician concerning a 11 year old female student with a cephalosporin allergy who on 01-NOV-2006 was vaccinated with a 0.5 ml first dose of GRDASIL (lot # 653938/0954F). On 09-NOV-2006 the patient developed cellulites in the arm where vaccine was administrated. The patient''s arm was red, hot, swollen, painful and tender. The patient sought medical attention. A complete blood cell count and x-ray were performed (results in reported). It was reported that the patient had an allergic reaction to cephalexin "once “once started." Subsequently, the patient recovered from cellulites. Follow-up information reported the physician considered cellulites to be disabling event. Additional information has been requested.


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