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This is VAERS ID 274185

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274185
VAERS Form:
Age:
Gender:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a female medical assistant who was vaccinated IM, into the arm, with a first dose of Gardasil (yeast). Subsequently the patient experienced had pain in the arm that lasted a few minutes after vaccination. Unspecified med"ical attention was sought. Subsequently, the patient recovered. Additional information has been requested.


Changed on 12/8/2009

274185 Before After
VAERS Form:
Age:
Gender:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA01078

Write-up:Information has been received from a female medical assistant who was vaccinated IM, into the arm, with a first dose of Gardasil (yeast). Subsequently the patient experienced had pain in the arm that lasted a few minutes after vaccination. Unspecified med"ical medical attention was sought. Subsequently, the patient recovered. Additional information has been requested.


Changed on 9/14/2017

274185 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA01078

Write-up:Information has been received from a female medical assistant who was vaccinated IM, into the arm, with a first dose of Gardasil (yeast). Subsequently the patient experienced had pain in the arm that lasted a few minutes after vaccination. Unspecified medical attention was sought. Subsequently, the patient recovered. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274185&WAYBACKHISTORY=ON


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