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This is VAERS ID 271134

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271134
VAERS Form:
Age:
Gender:Female
Location:Texas
Vaccinated:2006-12-19
Onset:2006-12-19
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Drug administered at inappropriate site, Pain, Sciatic nerve injury, Sciatica

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: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:SCIATICA; DRUG ADMINISTERED AT INAPPROPRIATE SITE. Information has been received from a nurse practitioner concerning a female patient who on 19-DEC-2006 was vaccinated IM into the dorsogluteal muscle with a dose of HPV rL1 6 11 16 18 VLP vaccine (yeast)."There was no concomitant medications. On 19-DEC-2006, the patient experienced sciatic nerve pain (noted that when the patient was vaccinated the sciatic nerve was hit). The pain went up her back and then it crossed over to the middle onto the left back.


Changed on 12/8/2009

271134 Before After
VAERS Form:
Age:
Gender:Female
Location:Texas
Vaccinated:2006-12-19
Onset:2006-12-19
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Drug administered at inappropriate site, Pain, Sciatic nerve injury, Sciatica

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: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0612USA03131

Write-up:SCIATICA; DRUG ADMINISTERED AT INAPPROPRIATE SITE. Information has been received from a nurse practitioner concerning a female patient who on 19-DEC-2006 was vaccinated IM into the dorsogluteal muscle with a dose of HPV rL1 6 11 16 18 VLP vaccine (yeast)."There (yeast). There was no concomitant medications. On 19-DEC-2006, the patient experienced sciatic nerve pain (noted that when the patient was vaccinated the sciatic nerve was hit). The pain went up her back and then it crossed over to the middle onto the left back. The pain occurred right after the injection. It was noted that there was no bruising or inflammation. Unspecified medical attention was sought. No laboratory diagnostic studies were performed. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 6/14/2014

271134 Before After
VAERS Form:
Age:
Gender:Female
Location:Texas
Vaccinated:2006-12-19
Onset:2006-12-19
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Drug administered at inappropriate site, Pain, Sciatic nerve injury, Sciatica

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: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA03131

Write-up:SCIATICA; DRUG ADMINISTERED AT INAPPROPRIATE SITE. Information has been received from a nurse practitioner concerning a female patient who on 19-DEC-2006 was vaccinated IM into the dorsogluteal muscle with a dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). There was no concomitant medications. On 19-DEC-2006, the patient experienced sciatic nerve pain (noted that when the patient was vaccinated the sciatic nerve was hit). The pain went up her back and then it crossed over to the middle onto the left back. The pain occurred right after the injection. It was noted that there was no bruising or inflammation. Unspecified medical attention was sought. No laboratory diagnostic studies were performed. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 5/14/2017

271134 Before After
VAERS Form:
Age:
Gender:Female
Location:Texas
Vaccinated:2006-12-19
Onset:2006-12-19
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Drug administered at inappropriate site, Pain, Sciatic nerve injury, Sciatica

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: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA03131

Write-up:SCIATICA; DRUG ADMINISTERED AT INAPPROPRIATE SITE. Information has been received from a nurse practitioner concerning a female patient who on 19-DEC-2006 was vaccinated IM into the dorsogluteal muscle with a dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). There was no concomitant medications. On 19-DEC-2006, the patient experienced sciatic nerve pain (noted that when the patient was vaccinated the sciatic nerve was hit). The pain went up her back and then it crossed over to the middle onto the left back. The pain occurred right after the injection. It was noted that there was no bruising or inflammation. Unspecified medical attention was sought. No laboratory diagnostic studies were performed. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 9/14/2017

271134 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Texas
Vaccinated:2006-12-19
Onset:2006-12-19
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Drug administered at inappropriate site, Pain, Sciatic nerve injury, Sciatica

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: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA03131

Write-up:SCIATICA; DRUG ADMINISTERED AT INAPPROPRIATE SITE. Information has been received from a nurse practitioner concerning a female patient who on 19-DEC-2006 was vaccinated IM into the dorsogluteal muscle with a dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). There was no concomitant medications. On 19-DEC-2006, the patient experienced sciatic nerve pain (noted that when the patient was vaccinated the sciatic nerve was hit). The pain went up her back and then it crossed over to the middle onto the left back. The pain occurred right after the injection. It was noted that there was no bruising or inflammation. Unspecified medical attention was sought. No laboratory diagnostic studies were performed. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.


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