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This is VAERS ID 269253

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

269253
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2006-11-24
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: Pyrexia, Contusion

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a female consumer who on 24 Nov 2006 /"one week ago/" was vaccinated with a dose of Gardasil vaccine (yeast). Subsequently the patient experienced bruising at injection site and a low grade fever. No medical attention wa"s sought. No diagnostic laboratory studies were performed. The patient''''s bruising at injection site and low grade fever persisted. No product quality complaint was involved. Additional information is expected.


Changed on 12/8/2009

269253 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2006-11-24
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: Pyrexia, Contusion

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0612USA00385

Write-up:Information has been received from a female consumer who on 24 Nov 2006 /"one "one week ago/" ago" was vaccinated with a dose of Gardasil vaccine (yeast). Subsequently the patient experienced bruising at injection site and a low grade fever. No medical attention wa"s was sought. No diagnostic laboratory studies were performed. The patient''''s patient''s bruising at injection site and low grade fever persisted. No product quality complaint was involved. Additional information is expected.


Changed on 9/14/2017

269253 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
Vaccinated:2006-11-24
Onset:0000-00-00
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / -

Administered by: Other      Purchased by: Other
Symptoms: Pyrexia, Contusion

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA00385

Write-up:Information has been received from a female consumer who on 24 Nov 2006 "one week ago" was vaccinated with a dose of Gardasil vaccine (yeast). Subsequently the patient experienced bruising at injection site and a low grade fever. No medical attention was sought. No diagnostic laboratory studies were performed. The patient''s bruising at injection site and low grade fever persisted. No product quality complaint was involved. Additional information is expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269253&WAYBACKHISTORY=ON


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