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This is VAERS ID 274319

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274319
VAERS Form:
Age:15.0
Gender:Female
Location:Arkansas
Vaccinated:2007-02-19
Onset:2007-02-20
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: Headache, Influenza like illness, Malaise, Pain

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

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history and history of drug reactions/allergies unspecified who on 19-FEB-2007 was vaccinated with first dose of Gardasil (lot # not reported) 0.5 IM."There was no concomitant medication. On 20-FEB-2007, the patient developed flu-like symptoms. The patient sought medical attention. The patient reported to the physician that she was experiencing a headache, not feeling well, and all over body pain (but n


Changed on 12/8/2009

274319 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Arkansas
Vaccinated:2007-02-19
Onset:2007-02-20
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: Headache, Influenza like illness, Malaise, Pain

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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA03754

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history and history of drug reactions/allergies unspecified who on 19-FEB-2007 was vaccinated with first dose of Gardasil (lot # not reported) 0.5 IM."There IM. There was no concomitant medication. On 20-FEB-2007, the patient developed flu-like symptoms. The patient sought medical attention. The patient reported to the physician that she was experiencing a headache, not feeling well, and all over body pain (but n not pain at the injection site). At the time of reporting, the outcome was unspecified. No further information was available at the time of reporting. Additional information has been requested.


Changed on 2/5/2010

274319 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Arkansas
Vaccinated:2007-02-19
Onset:2007-02-20
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0293 / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Headache, Influenza like illness, Malaise, Pain

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:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA03754

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history and history of drug reactions/allergies unspecified who on 19-FEB-2007 was vaccinated with first dose of Gardasil (lot # not reported) 0.5 IM. There was no concomitant medication. On 20-FEB-2007, the patient developed flu-like symptoms. The patient sought medical attention. The patient reported to the physician that she was experiencing a headache, not feeling well, and all over body pain (but not pain at the injection site). At the time of reporting, the outcome was unspecified. No further information was available at the time of reporting. Additional information has been requested.


Changed on 3/2/2010

274319 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Arkansas
Vaccinated:2007-02-19
Onset:2007-02-20 2007-02-19
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0293 0243U / 0 - GM / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Headache, Influenza like illness, Malaise, Pain

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:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA03754

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history and history of drug reactions/allergies unspecified who on 19-FEB-2007 was vaccinated with first dose of Gardasil (lot # not reported) 0.5 IM. There was no concomitant medication. On 20-FEB-2007, the patient developed flu-like symptoms. The patient sought medical attention. The patient reported to the physician that she was experiencing a headache, not feeling well, and all over body pain (but not pain at the injection site). At the time of reporting, the outcome was unspecified. No further information was available at the time of reporting. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 3/14/2007. Information has been received from a physician concerning a 15 year old female with no illness at the time of being vaccinated and no pertinent medical history and history of drug reactions/allergies who on 19-FEB-2007 was vaccinated with first dose of GARDASIL (lot # 656372/0243U) 0.5 ml IM in the left hip. There was no concomitant medication. On 20-FEB-2007, the patient developed flu-like symptoms. The patient sought medical attention. The patient reported to the physician that she was experiencing a headache, not feeling well, and all over body pain (but not pain at the injection site). At the time of reporting, the outcome was unspecified. No further information was available at the time of reporting. Additional information was received from the physician. On 19-FEB-2007, in the evening, the patient experienced pain at the injection site, associated hip and leg pain, mild swelling, headache, general malaise, and arthralgias. The events were reported as non-serious. On an unspecified date, the patient recovered. No additional information is expected.


Changed on 4/7/2010

274319 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Arkansas
Vaccinated:2007-02-19
Onset:2007-02-19
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 GM / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Influenza like illness, Injection site pain, Malaise, Pain, Pain in extremity, Swelling

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:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA03754

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history and history of drug reactions/allergies unspecified who on 19-FEB-2007 was vaccinated with first dose of Gardasil (lot # not reported) 0.5 IM. There was no concomitant medication. On 20-FEB-2007, the patient developed flu-like symptoms. The patient sought medical attention. The patient reported to the physician that she was experiencing a headache, not feeling well, and all over body pain (but not pain at the injection site). At the time of reporting, the outcome was unspecified. No further information was available at the time of reporting. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 3/14/2007. Information has been received from a physician concerning a 15 year old female with no illness at the time of being vaccinated and no pertinent medical history and history of drug reactions/allergies who on 19-FEB-2007 was vaccinated with first dose of GARDASIL (lot # 656372/0243U) 0.5 ml IM in the left hip. There was no concomitant medication. On 20-FEB-2007, the patient developed flu-like symptoms. The patient sought medical attention. The patient reported to the physician that she was experiencing a headache, not feeling well, and all over body pain (but not pain at the injection site). At the time of reporting, the outcome was unspecified. No further information was available at the time of reporting. Additional information was received from the physician. On 19-FEB-2007, in the evening, the patient experienced pain at the injection site, associated hip and leg pain, mild swelling, headache, general malaise, and arthralgias. The events were reported as non-serious. On an unspecified date, the patient recovered. No additional information is expected.


Changed on 6/14/2014

274319 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Arkansas
Vaccinated:2007-02-19
Onset:2007-02-19
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 GM / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Influenza like illness, Injection site pain, Malaise, Pain, Pain in extremity, Swelling

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:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA03754

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history and history of drug reactions/allergies unspecified who on 19-FEB-2007 was vaccinated with first dose of Gardasil (lot # not reported) 0.5 IM. There was no concomitant medication. On 20-FEB-2007, the patient developed flu-like symptoms. The patient sought medical attention. The patient reported to the physician that she was experiencing a headache, not feeling well, and all over body pain (but not pain at the injection site). At the time of reporting, the outcome was unspecified. No further information was available at the time of reporting. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 3/14/2007. Information has been received from a physician concerning a 15 year old female with no illness at the time of being vaccinated and no pertinent medical history and history of drug reactions/allergies who on 19-FEB-2007 was vaccinated with first dose of GARDASIL (lot # 656372/0243U) 0.5 ml IM in the left hip. There was no concomitant medication. On 20-FEB-2007, the patient developed flu-like symptoms. The patient sought medical attention. The patient reported to the physician that she was experiencing a headache, not feeling well, and all over body pain (but not pain at the injection site). At the time of reporting, the outcome was unspecified. No further information was available at the time of reporting. Additional information was received from the physician. On 19-FEB-2007, in the evening, the patient experienced pain at the injection site, associated hip and leg pain, mild swelling, headache, general malaise, and arthralgias. The events were reported as non-serious. On an unspecified date, the patient recovered. No additional information is expected.


Changed on 5/14/2017

274319 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Arkansas
Vaccinated:2007-02-19
Onset:2007-02-19
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 GM / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Influenza like illness, Injection site pain, Malaise, Pain, Pain in extremity, Swelling

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:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA03754

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history and history of drug reactions/allergies unspecified who on 19-FEB-2007 was vaccinated with first dose of Gardasil (lot # not reported) 0.5 IM. There was no concomitant medication. On 20-FEB-2007, the patient developed flu-like symptoms. The patient sought medical attention. The patient reported to the physician that she was experiencing a headache, not feeling well, and all over body pain (but not pain at the injection site). At the time of reporting, the outcome was unspecified. No further information was available at the time of reporting. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 3/14/2007. Information has been received from a physician concerning a 15 year old female with no illness at the time of being vaccinated and no pertinent medical history and history of drug reactions/allergies who on 19-FEB-2007 was vaccinated with first dose of GARDASIL (lot # 656372/0243U) 0.5 ml IM in the left hip. There was no concomitant medication. On 20-FEB-2007, the patient developed flu-like symptoms. The patient sought medical attention. The patient reported to the physician that she was experiencing a headache, not feeling well, and all over body pain (but not pain at the injection site). At the time of reporting, the outcome was unspecified. No further information was available at the time of reporting. Additional information was received from the physician. On 19-FEB-2007, in the evening, the patient experienced pain at the injection site, associated hip and leg pain, mild swelling, headache, general malaise, and arthralgias. The events were reported as non-serious. On an unspecified date, the patient recovered. No additional information is expected.


Changed on 9/14/2017

274319 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Arkansas
Vaccinated:2007-02-19
Onset:2007-02-19
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 1 GM / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Influenza like illness, Injection site pain, Malaise, Pain, Pain in extremity, Swelling

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:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA03754

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history and history of drug reactions/allergies unspecified who on 19-FEB-2007 was vaccinated with first dose of Gardasil (lot # not reported) 0.5 IM. There was no concomitant medication. On 20-FEB-2007, the patient developed flu-like symptoms. The patient sought medical attention. The patient reported to the physician that she was experiencing a headache, not feeling well, and all over body pain (but not pain at the injection site). At the time of reporting, the outcome was unspecified. No further information was available at the time of reporting. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 3/14/2007. Information has been received from a physician concerning a 15 year old female with no illness at the time of being vaccinated and no pertinent medical history and history of drug reactions/allergies who on 19-FEB-2007 was vaccinated with first dose of GARDASIL (lot # 656372/0243U) 0.5 ml IM in the left hip. There was no concomitant medication. On 20-FEB-2007, the patient developed flu-like symptoms. The patient sought medical attention. The patient reported to the physician that she was experiencing a headache, not feeling well, and all over body pain (but not pain at the injection site). At the time of reporting, the outcome was unspecified. No further information was available at the time of reporting. Additional information was received from the physician. On 19-FEB-2007, in the evening, the patient experienced pain at the injection site, associated hip and leg pain, mild swelling, headache, general malaise, and arthralgias. The events were reported as non-serious. On an unspecified date, the patient recovered. No additional information is expected.


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