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This is VAERS ID 272336

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272336
Age:
Gender:Female
Location:New Jersey
Vaccinated:2006-09-19
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a licensed practical nurse concerning a female who on 19-SEP-2006 was vaccinated IM with a first 0.5 ml dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). Subsequently the patient experienced pain at the injection site. Un"specified medical attention was sought. It was reported that the patient did not return to complete the schedule. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 272336 Before After
Age:
Gender:Female
Location:New Jersey
Vaccinated:2006-09-19
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0701USA01977

Write-up:Information has been received from a licensed practical nurse concerning a female who on 19-SEP-2006 was vaccinated IM with a first 0.5 ml dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). Subsequently the patient experienced pain at the injection site. Un"specified Unspecified medical attention was sought. It was reported that the patient did not return to complete the schedule. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 272336 Before After
Age:(blank) 14.0
Gender:Female
Location:New Jersey
Vaccinated:2006-09-19
Onset:0000-00-00 2006-12-14
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0961F / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA01977

Write-up:Information has been received from a licensed practical nurse concerning a female who on 19-SEP-2006 was vaccinated IM with a first 0.5 ml dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). Subsequently the patient experienced pain at the injection site. Unspecified medical attention was sought. It was reported that the patient did not return to complete the schedule. Additional information has been requested.


Changed on 5/11/2010

VAERS ID: 272336 Before After
Age:14.0
Gender:Female
Location:New Jersey
Vaccinated:2006-09-19 2006-12-14
Onset:2006-12-14
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / - - RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK Unknown
Current Illness:
Preexisting Conditions: UNK Unknown
Diagnostic Lab Data: UNK Unknown
CDC 'Split Type': WAES0701USA01977

Write-up:Information has been received from a licensed practical nurse concerning a female who on 19-SEP-2006 was vaccinated IM intramuscularly (IM) with a first 0.5 ml dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). GARDASIL vaccine. Subsequently the patient experienced pain at the injection site. Unspecified medical attention was sought. It was reported that the patient did not return to complete the schedule. Additional information has been requested. This is in follow-up to report (s) previously received on 2/14/2007. On 14-DEC-2006, the patient was vaccinated with IM GARDASIL vaccine (lot # 654389/0961F) in the right deltoid. On 14-DEC-2006, the patient experienced pain in her arm, difficulty moving and lifting arm. The patient reported recovery from difficulty moving and lifting arm on 28-DEC-2006. The patient reported recovery from arm pain on 14-JAN-2007. Additional information is not expected.


Changed on 7/31/2010

VAERS ID: 272336 Before After
Age:14.0
Gender:Female
Location:New Jersey
Vaccinated:2006-12-14
Onset:2006-12-14
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / - RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, Pain in extremity, Injected limb mobility decreased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0701USA01977

Write-up:Information has been received from a licensed practical nurse concerning a female who on 19-SEP-2006 was vaccinated intramuscularly (IM) with a first 0.5 ml dose of GARDASIL vaccine. Subsequently the patient experienced pain at the injection site. Unspecified medical attention was sought. It was reported that the patient did not return to complete the schedule. Additional information has been requested. This is in follow-up to report (s) previously received on 2/14/2007. On 14-DEC-2006, the patient was vaccinated with IM GARDASIL vaccine (lot # 654389/0961F) in the right deltoid. On 14-DEC-2006, the patient experienced pain in her arm, difficulty moving and lifting arm. The patient reported recovery from difficulty moving and lifting arm on 28-DEC-2006. The patient reported recovery from arm pain on 14-JAN-2007. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 272336 Before After
Age:14.0
Gender:Female
Location:New Jersey
Vaccinated:2006-12-14
Onset:2006-12-14
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / - RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, Pain in extremity, Injected limb mobility decreased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0701USA01977

Write-up:Information has been received from a licensed practical nurse concerning a female who on 19-SEP-2006 was vaccinated intramuscularly (IM) with a first 0.5 ml dose of GARDASIL vaccine. Subsequently the patient experienced pain at the injection site. Unspecified medical attention was sought. It was reported that the patient did not return to complete the schedule. Additional information has been requested. This is in follow-up to report (s) previously received on 2/14/2007. On 14-DEC-2006, the patient was vaccinated with IM GARDASIL vaccine (lot # 654389/0961F) in the right deltoid. On 14-DEC-2006, the patient experienced pain in her arm, difficulty moving and lifting arm. The patient reported recovery from difficulty moving and lifting arm on 28-DEC-2006. The patient reported recovery from arm pain on 14-JAN-2007. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 272336 Before After
Age:14.0
Gender:Female
Location:New Jersey
Vaccinated:2006-12-14
Onset:2006-12-14
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / - RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, Pain in extremity, Injected limb mobility decreased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0701USA01977

Write-up:Information has been received from a licensed practical nurse concerning a female who on 19-SEP-2006 was vaccinated intramuscularly (IM) with a first 0.5 ml dose of GARDASIL vaccine. Subsequently the patient experienced pain at the injection site. Unspecified medical attention was sought. It was reported that the patient did not return to complete the schedule. Additional information has been requested. This is in follow-up to report (s) previously received on 2/14/2007. On 14-DEC-2006, the patient was vaccinated with IM GARDASIL vaccine (lot # 654389/0961F) in the right deltoid. On 14-DEC-2006, the patient experienced pain in her arm, difficulty moving and lifting arm. The patient reported recovery from difficulty moving and lifting arm on 28-DEC-2006. The patient reported recovery from arm pain on 14-JAN-2007. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272336&WAYBACKHISTORY=ON


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