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This is VAERS ID 269223

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 269223
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Breast pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a female health professional who was vaccinated with HPV vaccine 0.5ml. Subsequently the patient experienced extremely sore nipples that lasted 4 days. The patient recovered from extremely sore nipples. The health profes"sional plans on receiving the next two vaccine injections. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 269223 Before After
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
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. - / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Breast pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0611USA07064

Write-up:Information has been received from a female health professional who was vaccinated with HPV vaccine 0.5ml. Subsequently the patient experienced extremely sore nipples that lasted 4 days. The patient recovered from extremely sore nipples. The health profes"sional professional plans on receiving the next two vaccine injections. Additional information has been requested.


Changed on 1/5/2010

VAERS ID: 269223 Before After
Age:(blank) 25.0
Gender:Female
Location:Unknown Rhode Island
Vaccinated:0000-00-00 2007-01-04
Onset:0000-00-00 2007-01-05
Submitted:2006-12-14 2007-04-06
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - 1 UN / - UN

Administered by: Other Private      Purchased by: Other Private
Symptoms: Breast pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0611USA07064

Write-up:Information has been received from a female health professional who was vaccinated with HPV vaccine 0.5ml. Subsequently the patient experienced extremely sore nipples that lasted 4 days. The patient recovered from extremely sore nipples. The health professional plans on receiving the next two vaccine injections. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow-up information has been received from a 25 year old black female secretary/receptionist who is the patient (previously reported as a female health professional). On an unspecified date, the patient was vaccinated with a first dose of GARDASIL 0.5 ml. Subsequently the patient experienced extremely sore nipples and slight breast tenderness, starting the day after injection, and lasting approximately 4 days. 04-JAN-2007 the patient was vaccinated with her second dose of GARDASIL. On 05-JAN-2007 the patient experienced slight breast tenderness and extremely sore nipples that lasted for approximately 4 days. The patient plans on receiving the series of vaccine injections. Additional information is not expected.


Changed on 7/31/2010

VAERS ID: 269223 Before After
Age:25.0
Gender:Female
Location:Rhode Island
Vaccinated:2007-01-04
Onset:2007-01-05
Submitted:2007-04-06
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Breast tenderness, Nipple pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0611USA07064

Write-up:Information has been received from a female health professional who was vaccinated with HPV vaccine 0.5ml. Subsequently the patient experienced extremely sore nipples that lasted 4 days. The patient recovered from extremely sore nipples. The health professional plans on receiving the next two vaccine injections. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow-up information has been received from a 25 year old black female secretary/receptionist who is the patient (previously reported as a female health professional). On an unspecified date, the patient was vaccinated with a first dose of GARDASIL 0.5 ml. Subsequently the patient experienced extremely sore nipples and slight breast tenderness, starting the day after injection, and lasting approximately 4 days. 04-JAN-2007 the patient was vaccinated with her second dose of GARDASIL. On 05-JAN-2007 the patient experienced slight breast tenderness and extremely sore nipples that lasted for approximately 4 days. The patient plans on receiving the series of vaccine injections. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 269223 Before After
Age:25.0
Gender:Female
Location:Rhode Island
Vaccinated:2007-01-04
Onset:2007-01-05
Submitted:2007-04-06
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Breast tenderness, Nipple pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0611USA07064

Write-up:Information has been received from a female health professional who was vaccinated with HPV vaccine 0.5ml. Subsequently the patient experienced extremely sore nipples that lasted 4 days. The patient recovered from extremely sore nipples. The health professional plans on receiving the next two vaccine injections. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow-up information has been received from a 25 year old female secretary/receptionist who is the patient (previously reported as a female health professional). On an unspecified date, the patient was vaccinated with a first dose of GARDASIL 0.5 ml. Subsequently the patient experienced extremely sore nipples and slight breast tenderness, starting the day after injection, and lasting approximately 4 days. 04-JAN-2007 the patient was vaccinated with her second dose of GARDASIL. On 05-JAN-2007 the patient experienced slight breast tenderness and extremely sore nipples that lasted for approximately 4 days. The patient plans on receiving the series of vaccine injections. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 269223 Before After
Age:25.0
Gender:Female
Location:Rhode Island
Vaccinated:2007-01-04
Onset:2007-01-05
Submitted:2007-04-06
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Breast tenderness, Nipple pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0611USA07064

Write-up:Information has been received from a female health professional who was vaccinated with HPV vaccine 0.5ml. Subsequently the patient experienced extremely sore nipples that lasted 4 days. The patient recovered from extremely sore nipples. The health professional plans on receiving the next two vaccine injections. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow-up information has been received from a 25 year old female secretary/receptionist who is the patient (previously reported as a female health professional). On an unspecified date, the patient was vaccinated with a first dose of GARDASIL 0.5 ml. Subsequently the patient experienced extremely sore nipples and slight breast tenderness, starting the day after injection, and lasting approximately 4 days. 04-JAN-2007 the patient was vaccinated with her second dose of GARDASIL. On 05-JAN-2007 the patient experienced slight breast tenderness and extremely sore nipples that lasted for approximately 4 days. The patient plans on receiving the series of vaccine injections. Additional information is not expected.


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