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This is VAERS ID 272316

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272316
VAERS Form:
Age:14.0
Gender:Female
Location:California
Vaccinated:2006-11-10
Onset:2006-11-12
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Contusion

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a physician and a certified medical assistant concerning a 14 year old female with no pertinent medical history who on 10-NOV-2006 was vaccinated IM with a first dose of Gardasil (lot #653937/0637F). There was no concomi"tant medication. On 12-NOV-2006 the patient developed /"bad bruise/". Unspecified medical attention was sought. On approximately 29-NOV-2006, the patient recovered. There were no laboratory or diagnostic tests performed. The physician reported that no fur


Changed on 12/8/2009

272316 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:California
Vaccinated:2006-11-10
Onset:2006-11-12
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Contusion

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0701USA01392

Write-up:Information has been received from a physician and a certified medical assistant concerning a 14 year old female with no pertinent medical history who on 10-NOV-2006 was vaccinated IM with a first dose of Gardasil (lot #653937/0637F). There was no concomi"tant concomitant medication. On 12-NOV-2006 the patient developed /"bad bruise/". "bad bruise". Unspecified medical attention was sought. On approximately 29-NOV-2006, the patient recovered. There were no laboratory or diagnostic tests performed. The physician reported that no fur further doses of Gardasil will be given until further information is received. Additional information has been requested.


Changed on 5/11/2010

272316 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:California
Vaccinated:2006-11-10
Onset:2006-11-12
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Contusion

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA01392

Write-up:Information has been received from a physician and a certified medical assistant concerning a 14 year old female with no pertinent medical history who on 10-NOV-2006 was vaccinated IM with a first dose of Gardasil (lot #653937/0637F). There was no concomitant medication. On 12-NOV-2006 the patient developed "bad bruise". Unspecified medical attention was sought. On approximately 29-NOV-2006, the patient recovered. There were no laboratory or diagnostic tests performed. The physician reported that no further doses of Gardasil will be given until further information is received. Additional information has been requested. 5/14/10 Follow up: repored that medical attention was not sought. On approximately 29-NOV-2006, the patient recovered. There were no laboratory or diagnostic tests performed. The physician reported that no further doses of GARDASIL will be given until further information is received.


Changed on 6/14/2014

272316 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:California
Vaccinated:2006-11-10
Onset:2006-11-12
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Contusion

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA01392

Write-up:Information has been received from a physician and a certified medical assistant concerning a 14 year old female with no pertinent medical history who on 10-NOV-2006 was vaccinated IM with a first dose of Gardasil (lot #653937/0637F). There was no concomitant medication. On 12-NOV-2006 the patient developed "bad bruise". Unspecified medical attention was sought. On approximately 29-NOV-2006, the patient recovered. There were no laboratory or diagnostic tests performed. The physician reported that no further doses of Gardasil will be given until further information is received. Additional information has been requested. 5/14/10 Follow up: repored that medical attention was not sought. On approximately 29-NOV-2006, the patient recovered. There were no laboratory or diagnostic tests performed. The physician reported that no further doses of GARDASIL will be given until further information is received.


Changed on 5/14/2017

272316 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:California
Vaccinated:2006-11-10
Onset:2006-11-12
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Contusion

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA01392

Write-up:Information has been received from a physician and a certified medical assistant concerning a 14 year old female with no pertinent medical history who on 10-NOV-2006 was vaccinated IM with a first dose of Gardasil (lot #653937/0637F). There was no concomitant medication. On 12-NOV-2006 the patient developed "bad bruise". Unspecified medical attention was sought. On approximately 29-NOV-2006, the patient recovered. There were no laboratory or diagnostic tests performed. The physician reported that no further doses of Gardasil will be given until further information is received. Additional information has been requested. 5/14/10 Follow up: repored that medical attention was not sought. On approximately 29-NOV-2006, the patient recovered. There were no laboratory or diagnostic tests performed. The physician reported that no further doses of GARDASIL will be given until further information is received.


Changed on 9/14/2017

272316 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:California
Vaccinated:2006-11-10
Onset:2006-11-12
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Contusion

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA01392

Write-up:Information has been received from a physician and a certified medical assistant concerning a 14 year old female with no pertinent medical history who on 10-NOV-2006 was vaccinated IM with a first dose of Gardasil (lot #653937/0637F). There was no concomitant medication. On 12-NOV-2006 the patient developed "bad bruise". Unspecified medical attention was sought. On approximately 29-NOV-2006, the patient recovered. There were no laboratory or diagnostic tests performed. The physician reported that no further doses of Gardasil will be given until further information is received. Additional information has been requested. 5/14/10 Follow up: repored that medical attention was not sought. On approximately 29-NOV-2006, the patient recovered. There were no laboratory or diagnostic tests performed. The physician reported that no further doses of GARDASIL will be given until further information is received.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272316&WAYBACKHISTORY=ON


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