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This is VAERS ID 274198

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274198
VAERS Form:
Age:
Gender:Female
Location:Iowa
Vaccinated:2006-12-01
Onset:2006-12-01
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: Dizziness, Injection site erythema, Injection site mass, Injection site pruritus

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: NONE
CDC 'Split Type':

Write-up:Information has been received from a licensed practical nurse concerning a female with pertinent medical history unspecified and drug reaction/allergies unspecified who in December 2006, two months ago, was vaccinated with first dose of Gardasil 0.5 ml IM". Concomitant therapy was unspecified. In December 2006, one day after receiving the injection, the patient experienced redness, swelling, itching, and bumps on her arm at the injection site. The patient also experienced light-headedness, and dizziness.


Changed on 12/8/2009

274198 Before After
VAERS Form:
Age:
Gender:Female
Location:Iowa
Vaccinated:2006-12-01
Onset:2006-12-01
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: Dizziness, Injection site erythema, Injection site mass, Injection site pruritus, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA01347

Write-up:Information has been received from a licensed practical nurse concerning a female with pertinent medical history unspecified and drug reaction/allergies unspecified who in December 2006, two months ago, was vaccinated with first dose of Gardasil 0.5 ml IM". IM. Concomitant therapy was unspecified. In December 2006, one day after receiving the injection, the patient experienced redness, swelling, itching, and bumps on her arm at the injection site. The patient also experienced light-headedness, and dizziness. The patient sought medical attention. Subsequently, the patient recovered. No other information was available at the time of reporting. Additional information has been requested.


Changed on 3/2/2010

274198 Before After
VAERS Form:
Age:
Gender:Female
Location:Iowa
Vaccinated:2006-12-01
Onset:2006-12-01
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: Other
Symptoms: Dizziness, Injection site erythema, Injection site mass, Injection site pruritus, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA01347

Write-up:Information has been received from a licensed practical nurse concerning a female with pertinent medical history unspecified and drug reaction/allergies unspecified who in December 2006, two months ago, was vaccinated with first dose of Gardasil 0.5 ml IM. Concomitant therapy was unspecified. In December 2006, one day after receiving the injection, the patient experienced redness, swelling, itching, and bumps on her arm at the injection site. The patient also experienced light-headedness, and dizziness. The patient sought medical attention. Subsequently, the patient recovered. No other information was available at the time of reporting. Additional No additional information has been requested. is available.


Changed on 6/14/2014

274198 Before After
VAERS Form:
Age:
Gender:Female
Location:Iowa
Vaccinated:2006-12-01
Onset:2006-12-01
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: Other
Symptoms: Dizziness, Injection site erythema, Injection site mass, Injection site pruritus, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA01347

Write-up:Information has been received from a licensed practical nurse concerning a female with pertinent medical history unspecified and drug reaction/allergies unspecified who in December 2006, two months ago, was vaccinated with first dose of Gardasil 0.5 ml IM. Concomitant therapy was unspecified. In December 2006, one day after receiving the injection, the patient experienced redness, swelling, itching, and bumps on her arm at the injection site. The patient also experienced light-headedness, and dizziness. The patient sought medical attention. Subsequently, the patient recovered. No other information was available at the time of reporting. No additional information is available.


Changed on 5/14/2017

274198 Before After
VAERS Form:
Age:
Gender:Female
Location:Iowa
Vaccinated:2006-12-01
Onset:2006-12-01
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: Other
Symptoms: Dizziness, Injection site erythema, Injection site mass, Injection site pruritus, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA01347

Write-up:Information has been received from a licensed practical nurse concerning a female with pertinent medical history unspecified and drug reaction/allergies unspecified who in December 2006, two months ago, was vaccinated with first dose of Gardasil 0.5 ml IM. Concomitant therapy was unspecified. In December 2006, one day after receiving the injection, the patient experienced redness, swelling, itching, and bumps on her arm at the injection site. The patient also experienced light-headedness, and dizziness. The patient sought medical attention. Subsequently, the patient recovered. No other information was available at the time of reporting. No additional information is available.


Changed on 9/14/2017

274198 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Iowa
Vaccinated:2006-12-01
Onset:2006-12-01
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: Dizziness, Injection site erythema, Injection site mass, Injection site pruritus, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA01347

Write-up:Information has been received from a licensed practical nurse concerning a female with pertinent medical history unspecified and drug reaction/allergies unspecified who in December 2006, two months ago, was vaccinated with first dose of Gardasil 0.5 ml IM. Concomitant therapy was unspecified. In December 2006, one day after receiving the injection, the patient experienced redness, swelling, itching, and bumps on her arm at the injection site. The patient also experienced light-headedness, and dizziness. The patient sought medical attention. Subsequently, the patient recovered. No other information was available at the time of reporting. No additional information is available.


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