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This is VAERS ID 274221

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274221
VAERS Form:
Age:35.0
Gender:Female
Location:Maine
Vaccinated:2007-01-22
Onset:2007-01-22
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: Inappropriate schedule of drug administration, Injection site pain, Injection site pruritus, Injection site calcification

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a 35 year old female with no pertinent medical history who on 22-JAN-2007 was vaccinated intramuscularly with a 0.5 ml first dose of HPV. There was no concomitant medication. On 31-JAN-2007 the patient developed a painf"ul itch at the injection site. The patient reported that after careful study of the site, she noted and then felt a bump at the injection site. The patient consulted with her physician who stated it was a calcification. There were no laboratory or diagnos


Changed on 12/8/2009

274221 Before After
VAERS Form:
Age:35.0
Gender:Female
Location:Maine
Vaccinated:2007-01-22
Onset:2007-01-22
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: Inappropriate schedule of drug administration, Injection site pain, Injection site pruritus, Injection site calcification

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA02476

Write-up:Information has been received from a 35 year old female with no pertinent medical history who on 22-JAN-2007 was vaccinated intramuscularly with a 0.5 ml first dose of HPV. There was no concomitant medication. On 31-JAN-2007 the patient developed a painf"ul painful itch at the injection site. The patient reported that after careful study of the site, she noted and then felt a bump at the injection site. The patient consulted with her physician who stated it was a calcification. There were no laboratory or diagnos diagnostic tests performed. At the time of the report, the patient had not recovered.


Changed on 2/5/2010

274221 Before After
VAERS Form:
Age:35.0
Gender:Female
Location:Maine
Vaccinated:2007-01-22
Onset:2007-01-22
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 1427F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Injection site pain, Injection site pruritus, Injection site calcification

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02476

Write-up:Information has been received from a 35 year old female with no pertinent medical history who on 22-JAN-2007 was vaccinated intramuscularly with a 0.5 ml first dose of HPV. There was no concomitant medication. On 31-JAN-2007 the patient developed a painful itch at the injection site. The patient reported that after careful study of the site, she noted and then felt a bump at the injection site. The patient consulted with her physician who stated it was a calcification. There were no laboratory or diagnostic tests performed. At the time of the report, the patient had not recovered.


Changed on 3/2/2010

274221 Before After
VAERS Form:
Age:35.0
Gender:Female
Location:Maine Massachusetts
Vaccinated:2007-01-22
Onset:2007-01-22
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 - UN / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Inappropriate schedule of drug administration, Injection site pain, Injection site pruritus, Injection site calcification

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No 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: NONE
Current Illness: Penicillin allergy; Sulfonamide allergy
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02476

Write-up:Information This is in follow-up to report(s) previously submitted on 3/14/2007 Initial and follow-up information has been received from a physician and a 35 year old female with penicillin and sulfonamide allergy with no pertinent medical history who on 22-JAN-2007 was vaccinated intramuscularly with a 0.5 ml first dose of HPV. GARDASIL. There was no concomitant medication. On The patient reported that on 31-JAN-2007 the patient she developed a painful itch at the injection site. The patient reported that after careful study of the site, she noted and then felt a bump at the injection site. The patient consulted with her physician who stated it was a calcification. Follow-up from the physician reported that on 08-FEB-2007 the patient developed a 1/2 cm tender firm lump at mid-humerus and was unsure if it was at the area of injection. Subsequently, the patient recovered. There were no laboratory or diagnostic tests performed. At the time of the report, the patient had not recovered. No additional information is available.


Changed on 4/7/2010

274221 Before After
VAERS Form:
Age:35.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-01-22
Onset:2007-01-22
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Inappropriate schedule of drug administration, Injection site pain, Injection site pruritus, Oedema peripheral, Injection site calcification

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: NONE
Current Illness: Penicillin allergy; Sulfonamide allergy
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02476

Write-up:This is in follow-up to report(s) previously submitted on 3/14/2007 Initial and follow-up information has been received from a physician and a 35 year old female with penicillin and sulfonamide allergy with no pertinent medical history who on 22-JAN-2007 was vaccinated intramuscularly with a 0.5 ml first dose of GARDASIL. There was no concomitant medication. The patient reported that on 31-JAN-2007 she developed a painful itch at the injection site. The patient reported that after careful study of the site, she noted and then felt a bump at the injection site. The patient consulted with her physician who stated it was a calcification. Follow-up from the physician reported that on 08-FEB-2007 the patient developed a 1/2 cm tender firm lump at mid-humerus and was unsure if it was at the area of injection. Subsequently, the patient recovered. There were no laboratory or diagnostic tests performed. No additional information is available.


Changed on 6/14/2014

274221 Before After
VAERS Form:
Age:35.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-01-22
Onset:2007-01-22
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Inappropriate schedule of drug administration, Injection site pain, Injection site pruritus, Oedema peripheral, Injection site calcification

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: NONE
Current Illness: Penicillin allergy; Sulfonamide allergy
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02476

Write-up:This is in follow-up to report(s) previously submitted on 3/14/2007 Initial and follow-up information has been received from a physician and a 35 year old female with penicillin and sulfonamide allergy with no pertinent medical history who on 22-JAN-2007 was vaccinated intramuscularly with a 0.5 ml first dose of GARDASIL. There was no concomitant medication. The patient reported that on 31-JAN-2007 she developed a painful itch at the injection site. The patient reported that after careful study of the site, she noted and then felt a bump at the injection site. The patient consulted with her physician who stated it was a calcification. Follow-up from the physician reported that on 08-FEB-2007 the patient developed a 1/2 cm tender firm lump at mid-humerus and was unsure if it was at the area of injection. Subsequently, the patient recovered. There were no laboratory or diagnostic tests performed. No additional information is available.


Changed on 5/14/2017

274221 Before After
VAERS Form:
Age:35.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-01-22
Onset:2007-01-22
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Inappropriate schedule of drug administration, Injection site pain, Injection site pruritus, Oedema peripheral, Injection site calcification

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: NONE
Current Illness: Penicillin allergy; Sulfonamide allergy
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02476

Write-up:This is in follow-up to report(s) previously submitted on 3/14/2007 Initial and follow-up information has been received from a physician and a 35 year old female with penicillin and sulfonamide allergy with no pertinent medical history who on 22-JAN-2007 was vaccinated intramuscularly with a 0.5 ml first dose of GARDASIL. There was no concomitant medication. The patient reported that on 31-JAN-2007 she developed a painful itch at the injection site. The patient reported that after careful study of the site, she noted and then felt a bump at the injection site. The patient consulted with her physician who stated it was a calcification. Follow-up from the physician reported that on 08-FEB-2007 the patient developed a 1/2 cm tender firm lump at mid-humerus and was unsure if it was at the area of injection. Subsequently, the patient recovered. There were no laboratory or diagnostic tests performed. No additional information is available.


Changed on 9/14/2017

274221 Before After
VAERS Form:(blank) 1
Age:35.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-01-22
Onset:2007-01-22
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 1 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Inappropriate schedule of drug administration, Injection site pain, Injection site pruritus, Oedema peripheral, Injection site calcification

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: NONE
Current Illness: Penicillin allergy; Sulfonamide allergy
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02476

Write-up:This is in follow-up to report(s) previously submitted on 3/14/2007 Initial and follow-up information has been received from a physician and a 35 year old female with penicillin and sulfonamide allergy with no pertinent medical history who on 22-JAN-2007 was vaccinated intramuscularly with a 0.5 ml first dose of GARDASIL. There was no concomitant medication. The patient reported that on 31-JAN-2007 she developed a painful itch at the injection site. The patient reported that after careful study of the site, she noted and then felt a bump at the injection site. The patient consulted with her physician who stated it was a calcification. Follow-up from the physician reported that on 08-FEB-2007 the patient developed a 1/2 cm tender firm lump at mid-humerus and was unsure if it was at the area of injection. Subsequently, the patient recovered. There were no laboratory or diagnostic tests performed. No additional information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274221&WAYBACKHISTORY=ON


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