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This is VAERS ID 274343

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274343
VAERS Form:
Age:16.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-02-28
Onset:2007-03-01
Submitted:2007-03-19
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 1 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Pain in extremity

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

Write-up:Three week pain in right deltoid after vaccine with Gardasil.


Changed on 9/14/2017

274343 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-02-28
Onset:2007-03-01
Submitted:2007-03-19
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 1 2 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Pain in extremity

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

Write-up:Three week pain in right deltoid after vaccine with Gardasil.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274343&WAYBACKHISTORY=ON


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