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This is VAERS ID 274206

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274206
VAERS Form:
Age:25.0
Gender:Female
Location:California
Vaccinated:2007-01-22
Onset:2007-02-10
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site bruising, Injection site rash, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Zelnorm
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a registered nurse via a company representative, concerning a 25 year old female who on approximately 22-JAN-2007 (about three weeks ago), was vaccinated with the second dose of Gardasil, 0.5 ml. Concomitant therapy incl"uded ZELNORM. On approximately 10-FEB-2007 (/"within the past day or two/"), the patient developed /"a bump and bruise at injection site, and nausea. It was reported that the patient had /"no ill effects after the first dose/" (date not provided). At the


Changed on 12/8/2009

274206 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:California
Vaccinated:2007-01-22
Onset:2007-02-10
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Injection site bruising, Injection site rash, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Zelnorm
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA01736

Write-up:Information has been received from a registered nurse via a company representative, concerning a 25 year old female who on approximately 22-JAN-2007 (about three weeks ago), was vaccinated with the second dose of Gardasil, 0.5 ml. Concomitant therapy incl"uded included ZELNORM. On approximately 10-FEB-2007 (/"within ("within the past day or two/"), two"), the patient developed /"a "a bump and bruise at injection site, and nausea. It was reported that the patient had /"no "no ill effects after the first dose/" dose" (date not provided). At the time of this report, the patient had not yet recovered. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 9/14/2017

274206 Before After
VAERS Form:(blank) 1
Age:25.0
Gender:Female
Location:California
Vaccinated:2007-01-22
Onset:2007-02-10
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / -

Administered by: Private      Purchased by: Other
Symptoms: Injection site bruising, Injection site rash, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Zelnorm
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA01736

Write-up:Information has been received from a registered nurse via a company representative, concerning a 25 year old female who on approximately 22-JAN-2007 (about three weeks ago), was vaccinated with the second dose of Gardasil, 0.5 ml. Concomitant therapy included ZELNORM. On approximately 10-FEB-2007 ("within the past day or two"), the patient developed "a bump and bruise at injection site, and nausea. It was reported that the patient had "no ill effects after the first dose" (date not provided). At the time of this report, the patient had not yet recovered. The patient sought unspecified medical attention. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274206&WAYBACKHISTORY=ON


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