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This is VAERS ID 270914

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270914
VAERS Form:
Age:16.0
Gender:Female
Location:North Carolina
Vaccinated:2007-01-10
Onset:2007-01-11
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 1 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site oedema, Oedema

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: Risperdal
Current Illness:
Preexisting Conditions: NKDA pt has asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt''''s mother called MD office stating that about 36 hrs after 2nd injection, the patient experienced swelling in her right arm that radiated down her arm into finger tips with middle of her back on right side. Her father is MD gave her 10 mg Prednisone wi"th 800 mg Motrin. This was repeated by Dr next day. Manufacturer rep notified.


Changed on 12/8/2009

270914 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:North Carolina
Vaccinated:2007-01-10
Onset:2007-01-11
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 1 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site oedema, Oedema

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: Risperdal
Current Illness:
Preexisting Conditions: NKDA pt has asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt''''s Pt''s mother called MD office stating that about 36 hrs after 2nd injection, the patient experienced swelling in her right arm that radiated down her arm into finger tips with middle of her back on right side. Her father is MD gave her 10 mg Prednisone wi"th with 800 mg Motrin. This was repeated by Dr next day. Manufacturer rep notified.


Changed on 9/14/2017

270914 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:North Carolina
Vaccinated:2007-01-10
Onset:2007-01-11
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 1 2 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site oedema, Oedema

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: Risperdal
Current Illness:
Preexisting Conditions: NKDA pt has asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt''s mother called MD office stating that about 36 hrs after 2nd injection, the patient experienced swelling in her right arm that radiated down her arm into finger tips with middle of her back on right side. Her father is MD gave her 10 mg Prednisone with 800 mg Motrin. This was repeated by Dr next day. Manufacturer rep notified.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=270914&WAYBACKHISTORY=ON


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