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This is VAERS ID 270254

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270254
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2006-12-04
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Swelling

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a medical assistant concerning a female (age not reported) who (approximately one month ago) in approximately November 2006, was vaccinated with Gardasil (yeast). On 04 Dec 2006, the patient just now experienced redness"and swelling at what the patient believes is the injection site. The patient had not yet been seen at the office at the time of the reporting. The outcome of the event was unknown. Additional information has been requested.


Changed on 12/8/2009

270254 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2006-12-04
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Erythema, Swelling

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0612USA00784

Write-up:Information has been received from a medical assistant concerning a female (age not reported) who (approximately one month ago) in approximately November 2006, was vaccinated with Gardasil (yeast). On 04 Dec 2006, the patient just now experienced redness"and redness and swelling at what the patient believes is the injection site. The patient had not yet been seen at the office at the time of the reporting. The outcome of the event was unknown. Additional information has been requested.


Changed on 1/5/2010

270254 Before After
VAERS Form:
Age:(blank) 38.0
Gender:Female
Location:Unknown Kentucky
Vaccinated:0000-00-00 2006-11-01
Onset:2006-12-04 2006-11-01
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other Private      Purchased by: Other
Symptoms: Erythema, Swelling

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0612USA00784

Write-up:Information has been received from a medical assistant concerning a female (age not reported) who (approximately one month ago) in approximately November 2006, was vaccinated with Gardasil (yeast). On 04 Dec 2006, the patient just now experienced redness and swelling at what the patient believes is the injection site. The patient had not yet been seen at the office at the time of the reporting. The outcome of the event was unknown. Additional information has been requested. Additional information was received from the medical assistant. On 04-DEC-2006, the patient reported redness and puffiness at the site. On 11-DEC-2006, the patient was examined by the physician. The area inflamed was similar than one half inch diameter. The patient was given antibiotics for one week. No diagnostic tests were performed. On an unspecified date, the patient recovered. No additional information is expected.


Changed on 2/5/2010

270254 Before After
VAERS Form:
Age:38.0
Gender:Female
Location:Kentucky
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0868F / - - / -

Administered by: Private      Purchased by: Other
Symptoms:

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0612USA00784

Write-up:Information has been received from a medical assistant concerning a female (age not reported) who (approximately one month ago) in approximately November 2006, was vaccinated with Gardasil (yeast). On 04 Dec 2006, the patient just now experienced redness and swelling at what the patient believes is the injection site. The patient had not yet been seen at the office at the time of the reporting. The outcome of the event was unknown. Additional information has been requested. Additional information was received from the medical assistant. On 04-DEC-2006, the patient reported redness and puffiness at the site. On 11-DEC-2006, the patient was examined by the physician. The area inflamed was similar than one half inch diameter. The patient was given antibiotics for one week. No diagnostic tests were performed. On an unspecified date, the patient recovered. No additional information is expected.


Changed on 7/31/2010

270254 Before After
VAERS Form:
Age:38.0
Gender:Female
Location:Kentucky
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / - - / -

Administered by: Private      Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0612USA00784

Write-up:Information has been received from a medical assistant concerning a female (age not reported) who (approximately one month ago) in approximately November 2006, was vaccinated with Gardasil (yeast). On 04 Dec 2006, the patient just now experienced redness and swelling at what the patient believes is the injection site. The patient had not yet been seen at the office at the time of the reporting. The outcome of the event was unknown. Additional information has been requested. Additional information was received from the medical assistant. On 04-DEC-2006, the patient reported redness and puffiness at the site. On 11-DEC-2006, the patient was examined by the physician. The area inflamed was similar than one half inch diameter. The patient was given antibiotics for one week. No diagnostic tests were performed. On an unspecified date, the patient recovered. No additional information is expected.


Changed on 6/14/2014

270254 Before After
VAERS Form:
Age:38.0
Gender:Female
Location:Kentucky
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / - - / -

Administered by: Private      Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0612USA00784

Write-up:Information has been received from a medical assistant concerning a female (age not reported) who (approximately one month ago) in approximately November 2006, was vaccinated with Gardasil (yeast). On 04 Dec 2006, the patient just now experienced redness and swelling at what the patient believes is the injection site. The patient had not yet been seen at the office at the time of the reporting. The outcome of the event was unknown. Additional information has been requested. Additional information was received from the medical assistant. On 04-DEC-2006, the patient reported redness and puffiness at the site. On 11-DEC-2006, the patient was examined by the physician. The area inflamed was similar than one half inch diameter. The patient was given antibiotics for one week. No diagnostic tests were performed. On an unspecified date, the patient recovered. No additional information is expected.


Changed on 5/14/2017

270254 Before After
VAERS Form:
Age:38.0
Gender:Female
Location:Kentucky
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / - - / -

Administered by: Private      Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0612USA00784

Write-up:Information has been received from a medical assistant concerning a female (age not reported) who (approximately one month ago) in approximately November 2006, was vaccinated with Gardasil (yeast). On 04 Dec 2006, the patient just now experienced redness and swelling at what the patient believes is the injection site. The patient had not yet been seen at the office at the time of the reporting. The outcome of the event was unknown. Additional information has been requested. Additional information was received from the medical assistant. On 04-DEC-2006, the patient reported redness and puffiness at the site. On 11-DEC-2006, the patient was examined by the physician. The area inflamed was similar than one half inch diameter. The patient was given antibiotics for one week. No diagnostic tests were performed. On an unspecified date, the patient recovered. No additional information is expected.


Changed on 9/14/2017

270254 Before After
VAERS Form:(blank) 1
Age:38.0
Gender:Female
Location:Kentucky
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / - UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0612USA00784

Write-up:Information has been received from a medical assistant concerning a female (age not reported) who (approximately one month ago) in approximately November 2006, was vaccinated with Gardasil (yeast). On 04 Dec 2006, the patient just now experienced redness and swelling at what the patient believes is the injection site. The patient had not yet been seen at the office at the time of the reporting. The outcome of the event was unknown. Additional information has been requested. Additional information was received from the medical assistant. On 04-DEC-2006, the patient reported redness and puffiness at the site. On 11-DEC-2006, the patient was examined by the physician. The area inflamed was similar than one half inch diameter. The patient was given antibiotics for one week. No diagnostic tests were performed. On an unspecified date, the patient recovered. No additional information is expected.


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