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This is VAERS ID 271137

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 271137
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-18
Onset:2006-12-18
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Pain, Pain in extremity

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning her 20 year old daughter with no medical history or allergies, who on 18-DEC-2006 was vaccinated IM with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). There was no concomitant medi"cation. On 18-DEC-2006, the patient experienced throbbing pain in her arm. Unspecified medical attention was sought. No diagnostic studies were performed. At the time of this report, the patient''''s pain was subsiding. No product quality complaint was in


Changed on 12/8/2009

VAERS ID: 271137 Before After
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-18
Onset:2006-12-18
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Pain, Pain in extremity

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0612USA03188

Write-up:Information has been received from a registered nurse concerning her 20 year old daughter with no medical history or allergies, who on 18-DEC-2006 was vaccinated IM with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). There was no concomitant medi"cation. medication. On 18-DEC-2006, the patient experienced throbbing pain in her arm. Unspecified medical attention was sought. No diagnostic studies were performed. At the time of this report, the patient''''s patient''s pain was subsiding. No product quality complaint was in involved. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 271137 Before After
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-18
Onset:2006-12-18
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain, Pain in extremity

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA03188

Write-up:Information has been received from a registered nurse concerning her 20 year old daughter with no medical history or allergies, who on 18-DEC-2006 was vaccinated IM with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). There was no concomitant medication. On 18-DEC-2006, the patient experienced throbbing pain in her arm. Unspecified medical attention was sought. No diagnostic studies were performed. At the time of this report, the patient''s pain was subsiding. No product quality complaint was involved. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 271137 Before After
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-18
Onset:2006-12-18
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain, Pain in extremity

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA03188

Write-up:Information has been received from a registered nurse concerning her 20 year old daughter with no medical history or allergies, who on 18-DEC-2006 was vaccinated IM with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). There was no concomitant medication. On 18-DEC-2006, the patient experienced throbbing pain in her arm. Unspecified medical attention was sought. No diagnostic studies were performed. At the time of this report, the patient''s pain was subsiding. No product quality complaint was involved. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271137&WAYBACKHISTORY=ON


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