National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 273930

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

273930
VAERS Form:
Age:24.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-03-06
Onset:2007-03-07
Submitted:2007-03-08
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Body temperature increased, Erythema, Nausea, Oedema peripheral, Vomiting

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Swelling and redness of arm. Swelling approximately 5 cm, erythema $g 26cm also nausea, vomiting, increase temp.


Changed on 12/8/2009

273930 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-03-06
Onset:2007-03-07
Submitted:2007-03-08
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Body temperature increased, Erythema, Nausea, Oedema peripheral, Vomiting

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Swelling and redness of arm. Swelling approximately 5 cm, erythema $g 26cm also nausea, vomiting, increase temp.


Changed on 3/2/2010

273930 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-03-06
Onset:2007-03-07
Submitted:2007-03-08
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 2 LA / - IM

Administered by: Private      Purchased by: Private
Symptoms: Body temperature increased, Erythema, Nausea, Oedema peripheral, Vomiting

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

Write-up:Swelling and redness of arm. Swelling approximately 5 cm, erythema $g 26cm also nausea, vomiting, increase temp. This is in follow-up report (s) previously submitted on 4/6/2007. Information has been received from a 24 year old female and her physician. On 06-MAR-2007, the patient was vaccinated intramuscularly with a 0.5 ml third dose of GARDASIL. The physician reported that this was the patient''s first dose of GARDASIL. The patient had no relevant medical history or illness at the time of vaccination. Concomitant therapy included YASMIN. The patient mentioned that she did not have any problems with dose 1 or 2 and that these doses were given in the outer part of her arm. She reported that the third dose was given less in the outer area and towards the inner arm but still in the muscle. On 06-MAR-2007, the patient experienced red, sore lump at the injection site. The physician reported that on 07-MAR-2007, the patient developed swelling and redness of the arm with swelling of approximatley 5 cm and erythema greater than 26 cm. On 07-MAR-2007, the patient experienced nausea, started to throw up, and she developed a fever. On 09-MAR-2007, the patient went tot he emergency room due to continued vomiting and dizziness. She was treated with intravenous fluid and was released at approximatley 04:00 pm. As of 12-MAR-2007, the patient continued to experience dizziness and nausea. At the time of this report, the outcome was unknown as per the physician. Additional information has been requested.


Changed on 9/14/2017

273930 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-03-06
Onset:2007-03-07
Submitted:2007-03-08
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 2 3 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Body temperature increased, Erythema, Nausea, Oedema peripheral, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Swelling and redness of arm. Swelling approximately 5 cm, erythema $g 26cm also nausea, vomiting, increase temp. This is in follow-up report (s) previously submitted on 4/6/2007. Information has been received from a 24 year old female and her physician. On 06-MAR-2007, the patient was vaccinated intramuscularly with a 0.5 ml third dose of GARDASIL. The physician reported that this was the patient''s first dose of GARDASIL. The patient had no relevant medical history or illness at the time of vaccination. Concomitant therapy included YASMIN. The patient mentioned that she did not have any problems with dose 1 or 2 and that these doses were given in the outer part of her arm. She reported that the third dose was given less in the outer area and towards the inner arm but still in the muscle. On 06-MAR-2007, the patient experienced red, sore lump at the injection site. The physician reported that on 07-MAR-2007, the patient developed swelling and redness of the arm with swelling of approximatley 5 cm and erythema greater than 26 cm. On 07-MAR-2007, the patient experienced nausea, started to throw up, and she developed a fever. On 09-MAR-2007, the patient went tot he emergency room due to continued vomiting and dizziness. She was treated with intravenous fluid and was released at approximatley 04:00 pm. As of 12-MAR-2007, the patient continued to experience dizziness and nausea. At the time of this report, the outcome was unknown as per the physician. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273930&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166