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This is VAERS ID 274109

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274109
Age:22.0
Gender:Female
Location:New York
Vaccinated:2006-11-08
Onset:2006-11-08
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Accidental exposure, Sensory disturbance, Vaccination complication, Incorrect dose administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: food allergy
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Initial and follow up information has been received from a nurse practitioner concerning a 22 year old female student with no acute illness or chronic disease and food allergy to eggplant who on 08 Nov 2006, at 14:00, was vaccinated witha second dose of G"ardasil. It was reported that the patient pulled away during adminstration due to /"strange sensation/" and a significant amount medication went down the patient''''s arm. It was estimated that only one third to one half of the dose was administered. It was


Changed on 12/8/2009

VAERS ID: 274109 Before After
Age:22.0
Gender:Female
Location:New York
Vaccinated:2006-11-08
Onset:2006-11-08
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown Private
Symptoms: Accidental exposure, Sensory disturbance, Vaccination complication, Incorrect dose administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: food allergy
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0611USA02972

Write-up:Initial and follow up information has been received from a nurse practitioner concerning a 22 year old female student with no acute illness or chronic disease and food allergy to eggplant who on 08 Nov 2006, at 14:00, was vaccinated witha second dose of G"ardasil. Gardasil. It was reported that the patient pulled away during adminstration due to /"strange sensation/" "strange sensation" and a significant amount medication went down the patient''''s patient''s arm. It was estimated that only one third to one half of the dose was administered. It was reported that the patient had to repeat the second. On 08 Nov 2006, the patient recovered from the event. No further information is available.


Changed on 2/5/2010

VAERS ID: 274109 Before After
Age:22.0 21.0
Gender:Female
Location:New York
Vaccinated:2006-11-08
Onset:2006-11-08
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0800F / - - / -

Administered by: Other      Purchased by: Private
Symptoms: Accidental exposure, Sensory disturbance, Vaccination complication, Incorrect dose administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: food allergy
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0611USA02972

Write-up:Initial and follow up information has been received from a nurse practitioner concerning a 22 year old female student with no acute illness or chronic disease and food allergy to eggplant who on 08 Nov 2006, at 14:00, was vaccinated witha second dose of Gardasil. It was reported that the patient pulled away during adminstration due to "strange sensation" and a significant amount medication went down the patient''s arm. It was estimated that only one third to one half of the dose was administered. It was reported that the patient had to repeat the second. On 08 Nov 2006, the patient recovered from the event. No further information is available.


Changed on 6/14/2014

VAERS ID: 274109 Before After
Age:21.0
Gender:Female
Location:New York
Vaccinated:2006-11-08
Onset:2006-11-08
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / - - / -

Administered by: Other      Purchased by: Private
Symptoms: Accidental exposure, Sensory disturbance, Vaccination complication, Incorrect dose administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: food allergy
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0611USA02972

Write-up:Initial and follow up information has been received from a nurse practitioner concerning a 22 year old female student with no acute illness or chronic disease and food allergy to eggplant who on 08 Nov 2006, at 14:00, was vaccinated witha second dose of Gardasil. It was reported that the patient pulled away during adminstration due to "strange sensation" and a significant amount medication went down the patient''s arm. It was estimated that only one third to one half of the dose was administered. It was reported that the patient had to repeat the second. On 08 Nov 2006, the patient recovered from the event. No further information is available.


Changed on 5/14/2017

VAERS ID: 274109 Before After
Age:21.0
Gender:Female
Location:New York
Vaccinated:2006-11-08
Onset:2006-11-08
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / - - / -

Administered by: Other      Purchased by: Private
Symptoms: Accidental exposure, Sensory disturbance, Vaccination complication, Incorrect dose administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: food allergy
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0611USA02972

Write-up:Initial and follow up information has been received from a nurse practitioner concerning a 22 year old female student with no acute illness or chronic disease and food allergy to eggplant who on 08 Nov 2006, at 14:00, was vaccinated witha second dose of Gardasil. It was reported that the patient pulled away during adminstration due to "strange sensation" and a significant amount medication went down the patient''s arm. It was estimated that only one third to one half of the dose was administered. It was reported that the patient had to repeat the second. On 08 Nov 2006, the patient recovered from the event. No further information is available.


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