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This is VAERS ID 272616

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272616
Age:15.0
Gender:Female
Location:New York
Vaccinated:2007-01-22
Onset:2007-01-29
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655617/1447F / - - / IM

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

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 15 year old female with no past medical history who on 22-JAN-2007 was vaccinated IM with a second 0.5 ml dose of HPV vaccine (yeast) (lot #655617/1447F). There was no concomitant medication. On"29-JAN-2007 the patient developed erythema and mild tenderness at the site of injection. There was no fever. She sought unspecified medical attention. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 272616 Before After
Age:15.0
Gender:Female
Location:New York
Vaccinated:2007-01-22
Onset:2007-01-29
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655617/1447F / - - / IM

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

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) WAES0702USA00144

Write-up:Information has been received from a physician concerning a 15 year old female with no past medical history who on 22-JAN-2007 was vaccinated IM with a second 0.5 ml dose of HPV vaccine (yeast) (lot #655617/1447F). There was no concomitant medication. On"29-JAN-2007 On 29-JAN-2007 the patient developed erythema and mild tenderness at the site of injection. There was no fever. She sought unspecified medical attention. Additional information has been requested.


Changed on 5/11/2010

VAERS ID: 272616 Before After
Age:15.0
Gender:Female
Location:New York
Vaccinated:2007-01-22
Onset:2007-01-29
Submitted:2007-02-14 2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655617/1447F / - 1 - UN / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Injection site erythema, 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: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA00144

Write-up:Information has been received from a physician concerning a 15 year old female with no past medical history who on 22-JAN-2007 was vaccinated IM with a second 0.5 ml dose of HPV vaccine (yeast) (lot #655617/1447F). There was no concomitant medication. On 29-JAN-2007 the patient developed erythema and mild tenderness at the site of injection. There was no fever. She sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow up information has been received from a physician concering a 15 year old female student with no past medical history and no adverse events following prior vaccinations who on 22-JAN-2007 was vaccinated IM with a second 0.5ml dose of GARDASIL (lot # 655617/1447F). There was no concomitant medication. On 29-JAN-2007 the patient developed erythema, swelling and mild tenderness at the site of injection. There was no fever. She recovered on an unspecified date. Additional information is not expected.


Changed on 7/31/2010

VAERS ID: 272616 Before After
Age:15.0
Gender:Female
Location:New York
Vaccinated:2007-01-22
Onset:2007-01-29
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655617/1447F / 1 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA00144

Write-up:Information has been received from a physician concerning a 15 year old female with no past medical history who on 22-JAN-2007 was vaccinated IM with a second 0.5 ml dose of HPV vaccine (yeast) (lot #655617/1447F). There was no concomitant medication. On 29-JAN-2007 the patient developed erythema and mild tenderness at the site of injection. There was no fever. She sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow up information has been received from a physician concering a 15 year old female student with no past medical history and no adverse events following prior vaccinations who on 22-JAN-2007 was vaccinated IM with a second 0.5ml dose of GARDASIL (lot # 655617/1447F). There was no concomitant medication. On 29-JAN-2007 the patient developed erythema, swelling and mild tenderness at the site of injection. There was no fever. She recovered on an unspecified date. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 272616 Before After
Age:15.0
Gender:Female
Location:New York
Vaccinated:2007-01-22
Onset:2007-01-29
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655617/1447F / 1 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA00144

Write-up:Information has been received from a physician concerning a 15 year old female with no past medical history who on 22-JAN-2007 was vaccinated IM with a second 0.5 ml dose of HPV vaccine (yeast) (lot #655617/1447F). There was no concomitant medication. On 29-JAN-2007 the patient developed erythema and mild tenderness at the site of injection. There was no fever. She sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow up information has been received from a physician concering a 15 year old female student with no past medical history and no adverse events following prior vaccinations who on 22-JAN-2007 was vaccinated IM with a second 0.5ml dose of GARDASIL (lot # 655617/1447F). There was no concomitant medication. On 29-JAN-2007 the patient developed erythema, swelling and mild tenderness at the site of injection. There was no fever. She recovered on an unspecified date. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 272616 Before After
Age:15.0
Gender:Female
Location:New York
Vaccinated:2007-01-22
Onset:2007-01-29
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655617/1447F / 1 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA00144

Write-up:Information has been received from a physician concerning a 15 year old female with no past medical history who on 22-JAN-2007 was vaccinated IM with a second 0.5 ml dose of HPV vaccine (yeast) (lot #655617/1447F). There was no concomitant medication. On 29-JAN-2007 the patient developed erythema and mild tenderness at the site of injection. There was no fever. She sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow up information has been received from a physician concering a 15 year old female student with no past medical history and no adverse events following prior vaccinations who on 22-JAN-2007 was vaccinated IM with a second 0.5ml dose of GARDASIL (lot # 655617/1447F). There was no concomitant medication. On 29-JAN-2007 the patient developed erythema, swelling and mild tenderness at the site of injection. There was no fever. She recovered on an unspecified date. Additional information is not expected.


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