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This is VAERS ID 272483

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272483
Age:17.0
Gender:Female
Location:Hawaii
Vaccinated:2007-01-18
Onset:2007-01-18
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: Arthralgia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 17 year old female with no pertinent medical history and no drug reactions/allergies who on approximately 18-JAN-2007 was vaccinated with HPV vaccine (yeast) (lot # not reported) injection, 0.5 m"l, in her left upper arm. There was no concomitant medication. On 18-JAN-2007, the patient developed pain and soreness in both sides of her hips. The patient sought medical attention. No lab diagnostic tests were performed. The patient stated that as of


Changed on 12/8/2009

VAERS ID: 272483 Before After
Age:17.0
Gender:Female
Location:Hawaii
Vaccinated:2007-01-18
Onset:2007-01-18
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: Arthralgia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0701USA03099

Write-up:Information has been received from a physician concerning a 17 year old female with no pertinent medical history and no drug reactions/allergies who on approximately 18-JAN-2007 was vaccinated with HPV vaccine (yeast) (lot # not reported) injection, 0.5 m"l, ml, in her left upper arm. There was no concomitant medication. On 18-JAN-2007, the patient developed pain and soreness in both sides of her hips. The patient sought medical attention. No lab diagnostic tests were performed. The patient stated that as of 18-JAN-2007, she only feels pain when she touches the side of her hips. At the time of reporting the outcome was unspecified. No other information was provided by the physician. Additional information has been requested.


Changed on 6/2/2010

VAERS ID: 272483 Before After
Age:17.0
Gender:Female
Location:Hawaii
Vaccinated:2007-01-18
Onset:2007-01-18
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA03099

Write-up:Information has been received from a physician concerning a 17 year old female with no pertinent medical history and no drug reactions/allergies who on approximately 18-JAN-2007 was vaccinated with HPV vaccine (yeast) GARDASIL (lot # not reported) injection, 0.5 ml, in her left upper arm. There was no concomitant medication. On 18-JAN-2007, the patient developed pain and soreness in both sides of her hips. The patient sought medical attention. No lab diagnostic tests were performed. The patient stated that as of 18-JAN-2007, she only feels pain when she touches the side of her hips. At the time of reporting the outcome was unspecified. No other information was provided by the physician. Additional information has been requested. This is in follow-up to report(s) previously submitted on 2/14/2007. Additional information was received from the physician via telephone call. The physician reported that the patient had not returned for follow-up visit, therefore it was unknown if the patient recovered. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 272483 Before After
Age:17.0
Gender:Female
Location:Hawaii
Vaccinated:2007-01-18
Onset:2007-01-18
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA03099

Write-up:Information has been received from a physician concerning a 17 year old female with no pertinent medical history and no drug reactions/allergies who on approximately 18-JAN-2007 was vaccinated with GARDASIL (lot # not reported) injection, 0.5 ml, in her left upper arm. There was no concomitant medication. On 18-JAN-2007, the patient developed pain and soreness in both sides of her hips. The patient sought medical attention. No lab diagnostic tests were performed. The patient stated that as of 18-JAN-2007, she only feels pain when she touches the side of her hips. At the time of reporting the outcome was unspecified. No other information was provided by the physician. Additional information has been requested. This is in follow-up to report(s) previously submitted on 2/14/2007. Additional information was received from the physician via telephone call. The physician reported that the patient had not returned for follow-up visit, therefore it was unknown if the patient recovered. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 272483 Before After
Age:17.0
Gender:Female
Location:Hawaii
Vaccinated:2007-01-18
Onset:2007-01-18
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA03099

Write-up:Information has been received from a physician concerning a 17 year old female with no pertinent medical history and no drug reactions/allergies who on approximately 18-JAN-2007 was vaccinated with GARDASIL (lot # not reported) injection, 0.5 ml, in her left upper arm. There was no concomitant medication. On 18-JAN-2007, the patient developed pain and soreness in both sides of her hips. The patient sought medical attention. No lab diagnostic tests were performed. The patient stated that as of 18-JAN-2007, she only feels pain when she touches the side of her hips. At the time of reporting the outcome was unspecified. No other information was provided by the physician. Additional information has been requested. This is in follow-up to report(s) previously submitted on 2/14/2007. Additional information was received from the physician via telephone call. The physician reported that the patient had not returned for follow-up visit, therefore it was unknown if the patient recovered. Additional information has been requested.


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