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This is VAERS ID 274214

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274214
VAERS Form:
Age:
Gender:Female
Location:Unknown
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: Drug administered at inappropriate site, Malaise, Muscle tightness

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 /"healthcare worker/" concerning a female (patient 2 of 4), either 14 years or 17 years old, who was vaccinated with the first dose of Gardasil (yeast) 0.5 ml IM in the gluteal region. The patient experienced /"knots i"n her neck and ill feeling/" one to two weeks after receiving the vaccination. The healthcare worker noted that the patient was being treated for /"something else that had absolutely nothing to do with the vaccination/". This patient /"had no problems/".


Changed on 12/8/2009

274214 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
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: Drug administered at inappropriate site, Malaise, Muscle tightness

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) WAES0702USA02049

Write-up:Information has been received from a /"healthcare worker/" "healthcare worker" concerning a female (patient 2 of 4), either 14 years or 17 years old, who was vaccinated with the first dose of Gardasil (yeast) 0.5 ml IM in the gluteal region. The patient experienced /"knots i"n "knots in her neck and ill feeling/" feeling" one to two weeks after receiving the vaccination. The healthcare worker noted that the patient was being treated for /"something "something else that had absolutely nothing to do with the vaccination/". vaccination". This patient /"had "had no problems/". problems". Additional information has been requested.


Changed on 9/14/2017

274214 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
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: Drug administered at inappropriate site, Malaise, Muscle tightness

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': WAES0702USA02049

Write-up:Information has been received from a "healthcare worker" concerning a female (patient 2 of 4), either 14 years or 17 years old, who was vaccinated with the first dose of Gardasil (yeast) 0.5 ml IM in the gluteal region. The patient experienced "knots in her neck and ill feeling" one to two weeks after receiving the vaccination. The healthcare worker noted that the patient was being treated for "something else that had absolutely nothing to do with the vaccination". This patient "had no problems". Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274214&WAYBACKHISTORY=ON


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