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This is VAERS ID 271155

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271155
VAERS Form:
Age:
Gender:Female
Location:Florida
Vaccinated:2006-11-22
Onset:2006-11-22
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: Injection site 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 22 Nov 2006 was vaccinated with a 0.5 ml dose of Gardasil. On approximately 22 Nov 2006, the physician reported that the patient experienced reaction a /"tendonitiis like/""pain near the injection site. It was noted that there were no signs of cellulitis and the pain has not been responsive to OTC non-steroidal medication. At the time of this report, the patient had not recovered. Additional information has been requested.


Changed on 12/8/2009

271155 Before After
VAERS Form:
Age:
Gender:Female
Location:Florida
Vaccinated:2006-11-22
Onset:2006-11-22
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: Injection site 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) WAES0701USA00013

Write-up:Information has been received from a physician concerning a female patient who on 22 Nov 2006 was vaccinated with a 0.5 ml dose of Gardasil. On approximately 22 Nov 2006, the physician reported that the patient experienced reaction a /"tendonitiis like/""pain "tendonitiis like" pain near the injection site. It was noted that there were no signs of cellulitis and the pain has not been responsive to OTC non-steroidal medication. At the time of this report, the patient had not recovered. Additional information has been requested.


Changed on 9/14/2017

271155 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Florida
Vaccinated:2006-11-22
Onset:2006-11-22
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: Injection site 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': WAES0701USA00013

Write-up:Information has been received from a physician concerning a female patient who on 22 Nov 2006 was vaccinated with a 0.5 ml dose of Gardasil. On approximately 22 Nov 2006, the physician reported that the patient experienced reaction a "tendonitiis like" pain near the injection site. It was noted that there were no signs of cellulitis and the pain has not been responsive to OTC non-steroidal medication. At the time of this report, the patient had not recovered. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271155&WAYBACKHISTORY=ON


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