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This is VAERS ID 272484

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272484
Age:16.0
Gender:Female
Location:Alabama
Vaccinated:2006-12-21
Onset:2006-12-21
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

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

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: UNK
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from an office manager concerning a 16 year old female who on 21-DEC-2006 was vaccinated in the arm (unspecified) with the first dose of HPV vaccine (yeast). There was no concomitant medication. On approximately 21-DEC-2006,"after receiving the vaccination, the patient developed a /"knot/" at the injection site. The patient sought unspecified medical attention. The /"knot/" at the patient''''s injection site persisted. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 272484 Before After
Age:16.0
Gender:Female
Location:Alabama
Vaccinated:2006-12-21
Onset:2006-12-21
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

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

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: UNK
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0701USA03182

Write-up:Information has been received from an office manager concerning a 16 year old female who on 21-DEC-2006 was vaccinated in the arm (unspecified) with the first dose of HPV vaccine (yeast). There was no concomitant medication. On approximately 21-DEC-2006,"after 21-DEC-2006, after receiving the vaccination, the patient developed a /"knot/" "knot" at the injection site. The patient sought unspecified medical attention. The /"knot/" "knot" at the patient''''s patient''s injection site persisted. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272484&WAYBACKHISTORY=ON


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