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This is VAERS ID 274207

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274207
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. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Sensory disturbance

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

Write-up:Information has been received from a nursing supervisor concerning a female (age not reported) who on an unspecified date was vaccinated with Gardasil. Subsequently, the patient reported that her arm felt dead. At the time of this report, the outcome of t"he event was unknown. Additional information has been requested.


Changed on 12/8/2009

274207 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. - / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Sensory disturbance

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA01781

Write-up:Information has been received from a nursing supervisor concerning a female (age not reported) who on an unspecified date was vaccinated with Gardasil. Subsequently, the patient reported that her arm felt dead. At the time of this report, the outcome of t"he the event was unknown. Additional information has been requested.


Changed on 2/5/2010

274207 Before After
VAERS Form:
Age:(blank) 20.0
Gender:Female
Location:California
Vaccinated:0000-00-00 2006-12-27
Onset:0000-00-00 2006-12-27
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 1425F / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Sensory disturbance

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA01781

Write-up:Information has been received from a nursing supervisor concerning a female (age not reported) who on an unspecified date was vaccinated with Gardasil. Subsequently, the patient reported that her arm felt dead. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


Changed on 3/2/2010

274207 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:California
Vaccinated:2006-12-27
Onset:2006-12-27
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / - 0 UN / - UN

Administered by: Other      Purchased by: Other
Symptoms: Sensory disturbance

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No No
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: UNK Unknown
Current Illness: Penicillin allergy; Hypersensitivity
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK Unknown
CDC 'Split Type': WAES0702USA01781

Write-up:Information has been received from a nursing supervisor concerning a 20 year old female (age not reported) who has an allergy to penicillin and minoglycine who on an unspecified date 27-Dec-2008 at 12:15 was vaccinated with Gardasil. GARDASIL (lot# 695165/1425F). On 27-DEC-2006 at 12:15, the patient reported that "when she was given the shot she felt it go down her arm and her arm felt heavy all day long. "The next day her arm was better. No product quality complaint was involved. Subsequently, the patient reported that her arm felt dead. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


Changed on 4/7/2010

274207 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:California
Vaccinated:2006-12-27
Onset:2006-12-27
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Sensation of heaviness, Sensory disturbance

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness: Penicillin allergy; Hypersensitivity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0702USA01781

Write-up:Information has been received from a nursing supervisor concerning a 20 year old female who has an allergy to penicillin and minoglycine who on 27-Dec-2008 at 12:15 was vaccinated with GARDASIL (lot# 695165/1425F). On 27-DEC-2006 at 12:15, the patient reported that "when she was given the shot she felt it go down her arm and her arm felt heavy all day long. "The next day her arm was better. No product quality complaint was involved. Subsequently, the patient reported that her arm felt dead. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


Changed on 6/14/2014

274207 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:California
Vaccinated:2006-12-27
Onset:2006-12-27
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Sensation of heaviness, Sensory disturbance

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness: Penicillin allergy; Hypersensitivity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0702USA01781

Write-up:Information has been received from a nursing supervisor concerning a 20 year old female who has an allergy to penicillin and minoglycine who on 27-Dec-2008 at 12:15 was vaccinated with GARDASIL (lot# 695165/1425F). On 27-DEC-2006 at 12:15, the patient reported that "when she was given the shot she felt it go down her arm and her arm felt heavy all day long. "The next day her arm was better. No product quality complaint was involved. Subsequently, the patient reported that her arm felt dead. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


Changed on 5/14/2017

274207 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:California
Vaccinated:2006-12-27
Onset:2006-12-27
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Sensation of heaviness, Sensory disturbance

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness: Penicillin allergy; Hypersensitivity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0702USA01781

Write-up:Information has been received from a nursing supervisor concerning a 20 year old female who has an allergy to penicillin and minoglycine who on 27-Dec-2008 at 12:15 was vaccinated with GARDASIL (lot# 695165/1425F). On 27-DEC-2006 at 12:15, the patient reported that "when she was given the shot she felt it go down her arm and her arm felt heavy all day long. "The next day her arm was better. No product quality complaint was involved. Subsequently, the patient reported that her arm felt dead. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


Changed on 9/14/2017

274207 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:California
Vaccinated:2006-12-27
Onset:2006-12-27
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Sensation of heaviness, Sensory disturbance

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness: Penicillin allergy; Hypersensitivity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0702USA01781

Write-up:Information has been received from a nursing supervisor concerning a 20 year old female who has an allergy to penicillin and minoglycine who on 27-Dec-2008 at 12:15 was vaccinated with GARDASIL (lot# 695165/1425F). On 27-DEC-2006 at 12:15, the patient reported that "when she was given the shot she felt it go down her arm and her arm felt heavy all day long. "The next day her arm was better. No product quality complaint was involved. Subsequently, the patient reported that her arm felt dead. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


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