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This is VAERS ID 272617

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272617
VAERS Form:
Age:20.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-01-11
Onset:2007-01-21
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Lymph node pain, Malaise

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: hormonal contraceptives
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a physician concerning an approximately 20 year old female, with no medical history, who on 11-JAN-2007 was vaccinated intramuscularly with a first dose of HPV vaccine (yeast). Concomitant therapy included hormonal contr"aceptives (unspecified). On approximately 21-JAN-2006 the patient developed bilateral tender lymph nodes and malaise. Unspecified medical attention was sought. At the time of the report, the patient''''s bilateral tender lymph nodes and malaise persisted.


Changed on 12/8/2009

272617 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-01-11
Onset:2007-01-21
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Lymph node pain, Malaise

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: hormonal contraceptives
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA00147

Write-up:Information has been received from a physician concerning an approximately 20 year old female, with no medical history, who on 11-JAN-2007 was vaccinated intramuscularly with a first dose of HPV vaccine (yeast). Concomitant therapy included hormonal contr"aceptives contraceptives (unspecified). On approximately 21-JAN-2006 the patient developed bilateral tender lymph nodes and malaise. Unspecified medical attention was sought. At the time of the report, the patient''''s patient''s bilateral tender lymph nodes and malaise persisted. There were no laboratory or diagnostic tests performed. Additional information has been requested.


Changed on 9/14/2017

272617 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-01-11
Onset:2007-01-21
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Lymph node pain, Malaise

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: hormonal contraceptives
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA00147

Write-up:Information has been received from a physician concerning an approximately 20 year old female, with no medical history, who on 11-JAN-2007 was vaccinated intramuscularly with a first dose of HPV vaccine (yeast). Concomitant therapy included hormonal contraceptives (unspecified). On approximately 21-JAN-2006 the patient developed bilateral tender lymph nodes and malaise. Unspecified medical attention was sought. At the time of the report, the patient''s bilateral tender lymph nodes and malaise persisted. There were no laboratory or diagnostic tests performed. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272617&WAYBACKHISTORY=ON


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