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This is VAERS ID 273909

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

273909
VAERS Form:
Age:17.0
Gender:Female
Location:Ohio
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-13
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Eye infection, Eye swelling, Face and mouth X-ray normal, Swelling face

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: nasal sinus X-ray 03/05/07 - negative
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 17 year old female who on 05-MAR-2007 was vaccinated IM with the first dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified). On 05-MAR-2007, two hours post-vaccina"tion, the patient developed swollen eyes and face and went to an emergency room. The patient underwent sinus films, which were noted to be negative, and was administered BENADRYL and unspecified antibiotics for a possible eye infection. The patient was re


Changed on 12/8/2009

273909 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Ohio
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-13
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Eye infection, Eye swelling, Face and mouth X-ray normal, Swelling face

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: nasal sinus X-ray 03/05/07 - negative
CDC 'Split Type': (blank) WAES0703USA01199

Write-up:Information has been received from a physician concerning a 17 year old female who on 05-MAR-2007 was vaccinated IM with the first dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified). On 05-MAR-2007, two hours post-vaccina"tion, post-vaccination, the patient developed swollen eyes and face and went to an emergency room. The patient underwent sinus films, which were noted to be negative, and was administered BENADRYL and unspecified antibiotics for a possible eye infection. The patient was re released that same evening. On 07-MAR-2007, the physician contacted the patient and reported that there was "not much improvement." The patient''s swollen eyes and face persisted. Eye and face swelling were reported as other important medical events. Additional information has been requested.


Changed on 1/5/2010

273909 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Ohio
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-13
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0263U / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Eye infection, Eye swelling, Face and mouth X-ray normal, Swelling face

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: nasal sinus X-ray 03/05/07 - negative
CDC 'Split Type': WAES0703USA01199

Write-up:Information has been received from a physician concerning a 17 year old female who on 05-MAR-2007 was vaccinated IM with the first dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified). On 05-MAR-2007, two hours post-vaccination, the patient developed swollen eyes and face and went to an emergency room. The patient underwent sinus films, which were noted to be negative, and was administered BENADRYL and unspecified antibiotics for a possible eye infection. The patient was released that same evening. On 07-MAR-2007, the physician contacted the patient and reported that there was "not much improvement." The patient''s swollen eyes and face persisted. Eye and face swelling were reported as other important medical events. Additional information has been requested.


Changed on 6/14/2014

273909 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Ohio
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-13
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Eye infection, Eye swelling, Face and mouth X-ray normal, Swelling face

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: nasal sinus X-ray 03/05/07 - negative
CDC 'Split Type': WAES0703USA01199

Write-up:Information has been received from a physician concerning a 17 year old female who on 05-MAR-2007 was vaccinated IM with the first dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified). On 05-MAR-2007, two hours post-vaccination, the patient developed swollen eyes and face and went to an emergency room. The patient underwent sinus films, which were noted to be negative, and was administered BENADRYL and unspecified antibiotics for a possible eye infection. The patient was released that same evening. On 07-MAR-2007, the physician contacted the patient and reported that there was "not much improvement." The patient''s swollen eyes and face persisted. Eye and face swelling were reported as other important medical events. Additional information has been requested.


Changed on 5/14/2017

273909 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Ohio
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-13
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Eye infection, Eye swelling, Face and mouth X-ray normal, Swelling face

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: nasal sinus X-ray 03/05/07 - negative
CDC 'Split Type': WAES0703USA01199

Write-up:Information has been received from a physician concerning a 17 year old female who on 05-MAR-2007 was vaccinated IM with the first dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified). On 05-MAR-2007, two hours post-vaccination, the patient developed swollen eyes and face and went to an emergency room. The patient underwent sinus films, which were noted to be negative, and was administered BENADRYL and unspecified antibiotics for a possible eye infection. The patient was released that same evening. On 07-MAR-2007, the physician contacted the patient and reported that there was "not much improvement." The patient''s swollen eyes and face persisted. Eye and face swelling were reported as other important medical events. Additional information has been requested.


Changed on 9/14/2017

273909 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Ohio
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-13
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Eye infection, Eye swelling, Face and mouth X-ray normal, Swelling face

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: nasal sinus X-ray 03/05/07 - negative
CDC 'Split Type': WAES0703USA01199

Write-up:Information has been received from a physician concerning a 17 year old female who on 05-MAR-2007 was vaccinated IM with the first dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified). On 05-MAR-2007, two hours post-vaccination, the patient developed swollen eyes and face and went to an emergency room. The patient underwent sinus films, which were noted to be negative, and was administered BENADRYL and unspecified antibiotics for a possible eye infection. The patient was released that same evening. On 07-MAR-2007, the physician contacted the patient and reported that there was "not much improvement." The patient''s swollen eyes and face persisted. Eye and face swelling were reported as other important medical events. Additional information has been requested.


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