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This is VAERS ID 273677

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

273677
VAERS Form:
Age:25.0
Gender:Female
Location:Texas
Vaccinated:2007-01-12
Onset:2007-01-12
Submitted:2007-03-07
Entered:2007-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Hypokinesia, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Yasmin, Zyrtec prn
Current Illness: NONE
Preexisting Conditions: seasonal allergies
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:At one month post injection pt was having continued pain at injection site. At two months, not much improvement. Difficulty moving arm. Refused 2nd and 3rd injection because of this reaction.


Changed on 12/8/2009

273677 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:Texas
Vaccinated:2007-01-12
Onset:2007-01-12
Submitted:2007-03-07
Entered:2007-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Hypokinesia, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Yasmin, Zyrtec prn
Current Illness: NONE
Preexisting Conditions: seasonal allergies
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:At one month post injection pt was having continued pain at injection site. At two months, not much improvement. Difficulty moving arm. Refused 2nd and 3rd injection because of this reaction.


Changed on 9/14/2017

273677 Before After
VAERS Form:(blank) 1
Age:25.0
Gender:Female
Location:Texas
Vaccinated:2007-01-12
Onset:2007-01-12
Submitted:2007-03-07
Entered:2007-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Hypokinesia, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Yasmin, Zyrtec prn
Current Illness: NONE
Preexisting Conditions: seasonal allergies
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:At one month post injection pt was having continued pain at injection site. At two months, not much improvement. Difficulty moving arm. Refused 2nd and 3rd injection because of this reaction.


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