National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 270907

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270907
VAERS Form:
Age:38.0
Gender:Female
Location:Ohio
Vaccinated:2007-01-04
Onset:2007-01-05
Submitted:2007-01-09
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0741R / 0 LA / -

Administered by: Other      Purchased by: Unknown
Symptoms: Pain in extremity, Pyrexia, Rash macular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness: NONE
Preexisting Conditions: J-Pouch (Ileo-anal anastmosis), Crohn''s Disease
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Pain in left arm started four hours after injection could not life or move arm without pain. 24 hours after injection had elevated temp of 100.5 and red blotches below the injection site (but not at the injection site). 72 hours after injection temperatur"e returned to normal and pain was slowly diminishing. 96 hours after injection pain is gone, red blotches are fading. 10 days after injection, red blotches are gone.


Changed on 12/8/2009

270907 Before After
VAERS Form:
Age:38.0
Gender:Female
Location:Ohio
Vaccinated:2007-01-04
Onset:2007-01-05
Submitted:2007-01-09
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0741R / 0 LA / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Pain in extremity, Pyrexia, Rash macular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness: NONE
Preexisting Conditions: J-Pouch (Ileo-anal anastmosis), Crohn''s Disease
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Pain in left arm started four hours after injection could not life or move arm without pain. 24 hours after injection had elevated temp of 100.5 and red blotches below the injection site (but not at the injection site). 72 hours after injection temperatur"e temperature returned to normal and pain was slowly diminishing. 96 hours after injection pain is gone, red blotches are fading. 10 days after injection, red blotches are gone.


Changed on 9/14/2017

270907 Before After
VAERS Form:(blank) 1
Age:38.0
Gender:Female
Location:Ohio
Vaccinated:2007-01-04
Onset:2007-01-05
Submitted:2007-01-09
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0741R / 0 1 LA / -

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity, Pyrexia, Rash macular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness: NONE
Preexisting Conditions: J-Pouch (Ileo-anal anastmosis), Crohn''s Disease
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Pain in left arm started four hours after injection could not life or move arm without pain. 24 hours after injection had elevated temp of 100.5 and red blotches below the injection site (but not at the injection site). 72 hours after injection temperature returned to normal and pain was slowly diminishing. 96 hours after injection pain is gone, red blotches are fading. 10 days after injection, red blotches are gone.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=270907&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166