National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 272155

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272155
VAERS Form:
Age:26.0
Gender:Female
Location:Maryland
Vaccinated:2007-02-06
Onset:2007-02-07
Submitted:2007-02-12
Entered:2007-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - RA / IM
TD: TD ADSORBED (NO BRAND NAME) / AVENTIS PASTEUR U1704DA / - RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Injection site induration, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Required ER TX plus 2 additional MD office visits RX Prednisone.
CDC 'Split Type':

Write-up:5cm tender induration at site (R biceps) with redness extending entire fore arm and pain at site of injection (Gardasil).


Changed on 12/8/2009

272155 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Maryland
Vaccinated:2007-02-06
Onset:2007-02-07
Submitted:2007-02-12
Entered:2007-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - RA / IM
TD: TD ADSORBED (NO BRAND NAME) / AVENTIS PASTEUR U1704DA / - RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Erythema, Injection site induration, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Required ER TX plus 2 additional MD office visits RX Prednisone.
CDC 'Split Type':

Write-up:5cm tender induration at site (R biceps) with redness extending entire fore arm and pain at site of injection (Gardasil).


Changed on 5/14/2017

272155 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Maryland
Vaccinated:2007-02-06
Onset:2007-02-07
Submitted:2007-02-12
Entered:2007-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - RA / IM
TD: TD ADSORBED (NO BRAND NAME) / AVENTIS PASTEUR SANOFI PASTEUR U1704DA / - RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Injection site induration, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Required ER TX plus 2 additional MD office visits RX Prednisone.
CDC 'Split Type':

Write-up:5cm tender induration at site (R biceps) with redness extending entire fore arm and pain at site of injection (Gardasil).


Changed on 9/14/2017

272155 Before After
VAERS Form:(blank) 1
Age:26.0
Gender:Female
Location:Maryland
Vaccinated:2007-02-06
Onset:2007-02-07
Submitted:2007-02-12
Entered:2007-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - UNK RA / IM
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U1704DA / - UNK RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Injection site induration, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Required ER TX plus 2 additional MD office visits RX Prednisone.
CDC 'Split Type':

Write-up:5cm tender induration at site (R biceps) with redness extending entire fore arm and pain at site of injection (Gardasil).


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272155&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166