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This is VAERS ID 270246

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270246
VAERS Form:
Age:19.0
Gender:Female
Location:Ohio
Vaccinated:2006-11-27
Onset:2006-11-27
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 GM / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Discomfort, Injection site pain, Injection site discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning her 19 year old daughter with no medical history or drug allergies who on 27 Nov 2006 was vaccinated intramuscularly in the mid top gluteal region with a first dose of HPV Vaccine. There was"no concomitant medication. On 27 Nov 2006 the patient mentioned that the site of injection hurt and caused discomfort. The patient was uncomfortable for 24 hours. The patient sought unspecified medical attention. No laboratory diagnostic studies were perf


Changed on 12/8/2009

270246 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Ohio
Vaccinated:2006-11-27
Onset:2006-11-27
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 GM / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Discomfort, Injection site pain, Injection site discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0612USA00441

Write-up:Information has been received from a registered nurse concerning her 19 year old daughter with no medical history or drug allergies who on 27 Nov 2006 was vaccinated intramuscularly in the mid top gluteal region with a first dose of HPV Vaccine. There was"no was no concomitant medication. On 27 Nov 2006 the patient mentioned that the site of injection hurt and caused discomfort. The patient was uncomfortable for 24 hours. The patient sought unspecified medical attention. No laboratory diagnostic studies were perf performed. At the time of this report, the outcome was unknown. No product quality complaint was involved. Additional information has been requested.


Changed on 6/14/2014

270246 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Ohio
Vaccinated:2006-11-27
Onset:2006-11-27
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 GM / IM

Administered by: Other      Purchased by: Other
Symptoms: Discomfort, Injection site pain, Injection site discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA00441

Write-up:Information has been received from a registered nurse concerning her 19 year old daughter with no medical history or drug allergies who on 27 Nov 2006 was vaccinated intramuscularly in the mid top gluteal region with a first dose of HPV Vaccine. There was no concomitant medication. On 27 Nov 2006 the patient mentioned that the site of injection hurt and caused discomfort. The patient was uncomfortable for 24 hours. The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. At the time of this report, the outcome was unknown. No product quality complaint was involved. Additional information has been requested.


Changed on 5/14/2017

270246 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Ohio
Vaccinated:2006-11-27
Onset:2006-11-27
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 GM / IM

Administered by: Other      Purchased by: Other
Symptoms: Discomfort, Injection site pain, Injection site discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA00441

Write-up:Information has been received from a registered nurse concerning her 19 year old daughter with no medical history or drug allergies who on 27 Nov 2006 was vaccinated intramuscularly in the mid top gluteal region with a first dose of HPV Vaccine. There was no concomitant medication. On 27 Nov 2006 the patient mentioned that the site of injection hurt and caused discomfort. The patient was uncomfortable for 24 hours. The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. At the time of this report, the outcome was unknown. No product quality complaint was involved. Additional information has been requested.


Changed on 9/14/2017

270246 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Ohio
Vaccinated:2006-11-27
Onset:2006-11-27
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 GM / IM

Administered by: Other      Purchased by: Other
Symptoms: Discomfort, Injection site pain, Injection site discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA00441

Write-up:Information has been received from a registered nurse concerning her 19 year old daughter with no medical history or drug allergies who on 27 Nov 2006 was vaccinated intramuscularly in the mid top gluteal region with a first dose of HPV Vaccine. There was no concomitant medication. On 27 Nov 2006 the patient mentioned that the site of injection hurt and caused discomfort. The patient was uncomfortable for 24 hours. The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. At the time of this report, the outcome was unknown. No product quality complaint was involved. Additional information has been requested.


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