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This is VAERS ID 271147

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271147
VAERS Form:
Age:
Gender:Female
Location:Oregon
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Burning sensation, Pain

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with Gardasil. Subsequently, following vaccination, the patient experienced pain and a burning sensation in the arm. Unspecified medical a"ttention was sought. At the time of this report, the patient''''s pain and burning sensation in the arm persisted. Additional information has been requested.


Changed on 12/8/2009

271147 Before After
VAERS Form:
Age:
Gender:Female
Location:Oregon
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Burning sensation, Pain

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0612USA03827

Write-up:Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with Gardasil. Subsequently, following vaccination, the patient experienced pain and a burning sensation in the arm. Unspecified medical a"ttention attention was sought. At the time of this report, the patient''''s patient''s pain and burning sensation in the arm persisted. Additional information has been requested.


Changed on 9/14/2017

271147 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Oregon
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Burning sensation, Pain

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0612USA03827

Write-up:Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with Gardasil. Subsequently, following vaccination, the patient experienced pain and a burning sensation in the arm. Unspecified medical attention was sought. At the time of this report, the patient''s pain and burning sensation in the arm persisted. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271147&WAYBACKHISTORY=ON


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