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This is VAERS ID 274318

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274318
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:2007-01-01
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 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site induration, Injection site pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a pharmacist concerning a 12 year old female with no pertinent medical history who in approximately January 2007, was vaccinated with a first dose of Gardasil. There was no concomitant medication. Subsequently the patien"t developed a lump at the injection site. It was reported that the lump at the injection site /"recently/" became painful. Unspecified medical attention was sought. There were no laboratory or diagnostic tests performed. At the time of the report, the lum


Changed on 12/8/2009

VAERS ID: 274318 Before After
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:2007-01-01
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 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site induration, Injection site pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA03751

Write-up:Information has been received from a pharmacist concerning a 12 year old female with no pertinent medical history who in approximately January 2007, was vaccinated with a first dose of Gardasil. There was no concomitant medication. Subsequently the patien"t patient developed a lump at the injection site. It was reported that the lump at the injection site /"recently/" "recently" became painful. Unspecified medical attention was sought. There were no laboratory or diagnostic tests performed. At the time of the report, the lum lump and pain at the injection site persisted. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274318&WAYBACKHISTORY=ON


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