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This is VAERS ID 274044

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274044
VAERS Form:
Age:13.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-03-15
Entered:2007-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pain, Skin tightness, Injection site swelling

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: NONE
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:About 2 minutes after vaccine (Gardasil, 2nd dose), patient noticed pain, swelling/tightness of upper arm near vaccine, and streaks of slightly swollen reddened skin out to about 4 cm surrounding injection site. Subsided within 8 minutes. Treatment was"MD assessment and Claritin 10mg reditab.


Changed on 12/8/2009

274044 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-03-15
Entered:2007-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Injection site erythema, Injection site pain, Skin tightness, Injection site swelling

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: NONE
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:About 2 minutes after vaccine (Gardasil, 2nd dose), patient noticed pain, swelling/tightness of upper arm near vaccine, and streaks of slightly swollen reddened skin out to about 4 cm surrounding injection site. Subsided within 8 minutes. Treatment was"MD was MD assessment and Claritin 10mg reditab.


Changed on 9/14/2017

274044 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-03-15
Entered:2007-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Skin tightness, Injection site swelling

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: NONE
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:About 2 minutes after vaccine (Gardasil, 2nd dose), patient noticed pain, swelling/tightness of upper arm near vaccine, and streaks of slightly swollen reddened skin out to about 4 cm surrounding injection site. Subsided within 8 minutes. Treatment was MD assessment and Claritin 10mg reditab.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274044&WAYBACKHISTORY=ON


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