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This is VAERS ID 273505

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

273505
VAERS Form:
Age:12.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-02-23
Onset:2007-02-23
Submitted:2007-03-06
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to strawberries
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Aftershot, patient developed pain on the side of the body (left) that shot was administered, over left arm, left trunk, and left leg. There was no local redness, swelling, or pain at site of vaccine itself. The patient was treated with Motrin and ice and"resolved after 24 hours.


Changed on 12/8/2009

273505 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-02-23
Onset:2007-02-23
Submitted:2007-03-06
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to strawberries
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Aftershot, patient developed pain on the side of the body (left) that shot was administered, over left arm, left trunk, and left leg. There was no local redness, swelling, or pain at site of vaccine itself. The patient was treated with Motrin and ice and"resolved and resolved after 24 hours.


Changed on 9/14/2017

273505 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-02-23
Onset:2007-02-23
Submitted:2007-03-06
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 1 2 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: allergic to strawberries
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Aftershot, patient developed pain on the side of the body (left) that shot was administered, over left arm, left trunk, and left leg. There was no local redness, swelling, or pain at site of vaccine itself. The patient was treated with Motrin and ice and resolved after 24 hours.


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