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This is VAERS ID 270322

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270322
VAERS Form:
Age:21.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-12-21
Onset:2007-01-05
Submitted:2007-01-10
Entered:2007-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site pain, Joint range of motion decreased

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: Ortho tricyclen LO
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Pt seen by doctor on 1/6/07 no swelling or redness good ROM REC NSAIDS and warm compresses. RTO 1-2 weeks
CDC 'Split Type':

Write-up:01/05/07 pt called c/p left arm still sore after 2 weeks after receiving vaccine unable to raise arm over head denies redness or swelling.


Changed on 12/8/2009

270322 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-12-21
Onset:2007-01-05
Submitted:2007-01-10
Entered:2007-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Injection site pain, Joint range of motion decreased

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: Ortho tricyclen LO
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Pt seen by doctor on 1/6/07 no swelling or redness good ROM REC NSAIDS and warm compresses. RTO 1-2 weeks
CDC 'Split Type':

Write-up:01/05/07 pt called c/p left arm still sore after 2 weeks after receiving vaccine unable to raise arm over head denies redness or swelling.


Changed on 9/14/2017

270322 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-12-21
Onset:2007-01-05
Submitted:2007-01-10
Entered:2007-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Injection site pain, Joint range of motion decreased

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: Ortho tricyclen LO
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Pt seen by doctor on 1/6/07 no swelling or redness good ROM REC NSAIDS and warm compresses. RTO 1-2 weeks
CDC 'Split Type':

Write-up:01/05/07 pt called c/p left arm still sore after 2 weeks after receiving vaccine unable to raise arm over head denies redness or swelling.


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