National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 274572

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274572
Age:15.0
Gender:Female
Location:Maryland
Vaccinated:2007-02-02
Onset:2007-02-02
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Headache, Inappropriate schedule of drug administration, 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 registered nurse concerning a 14 year old female with no medical history and no allergies who on 02-FEB-2007 was vaccinated with a second dose of HPV (lot # 655503/00120), intramuscularly. There was no concomitant medi"cation. On 02-FEB-2007 the patient experienced intermittent headache and soreness at the injection site of the left arm. The patient was examined by the physician on 20-FEB-2007 and was recommended Tylenol. It was noted that the first dose of HPV was rece


Changed on 12/8/2009

VAERS ID: 274572 Before After
Age:15.0
Gender:Female
Location:Maryland
Vaccinated:2007-02-02
Onset:2007-02-02
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 LA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Headache, Inappropriate schedule of drug administration, 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) WAES0702USA03856

Write-up:Information has been received from a registered nurse concerning a 14 year old female with no medical history and no allergies who on 02-FEB-2007 was vaccinated with a second dose of HPV (lot # 655503/00120), intramuscularly. There was no concomitant medi"cation. medication. On 02-FEB-2007 the patient experienced intermittent headache and soreness at the injection site of the left arm. The patient was examined by the physician on 20-FEB-2007 and was recommended Tylenol. It was noted that the first dose of HPV was rece received on 27-OCT-2006. At the time of the report, the patient was considered to be not recovered. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 274572 Before After
Age:15.0 14.0
Gender:Female
Location:Maryland
Vaccinated:2007-02-02
Onset:2007-02-02
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Headache, Inappropriate schedule of drug administration, 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': WAES0702USA03856

Write-up:Information has been received from a registered nurse concerning a 14 year old female with no medical history and no allergies who on 02-FEB-2007 was vaccinated with a second dose of HPV (lot # 655503/00120), intramuscularly. The first dose of GARDASIL was given on 27-Oct-2006. There was no concomitant medication. On 02-FEB-2007 the patient experienced intermittent headache and soreness at the injection site of the left arm. The patient was examined by the physician on 20-FEB-2007 and was recommended Tylenol. The patient''s symptoms lasted for three weeks after which she recovered. No product quality complaint was involved. It was noted that the first dose of HPV was received on 27-OCT-2006. At the time of the report, the patient was considered to be not recovered. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 274572 Before After
Age:14.0
Gender:Female
Location:Maryland
Vaccinated:2007-02-02
Onset:2007-02-02
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Headache, Inappropriate schedule of drug administration, 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': WAES0702USA03856

Write-up:Information has been received from a registered nurse concerning a 14 year old female with no medical history and no allergies who on 02-FEB-2007 was vaccinated with a second dose of HPV (lot # 655503/00120), intramuscularly. The first dose of GARDASIL was given on 27-Oct-2006. There was no concomitant medication. On 02-FEB-2007 the patient experienced intermittent headache and soreness at the injection site of the left arm. The patient was examined by the physician on 20-FEB-2007 and was recommended Tylenol. The patient''s symptoms lasted for three weeks after which she recovered. No product quality complaint was involved. It was noted that the first dose of HPV was received on 27-OCT-2006. At the time of the report, the patient was considered to be not recovered. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 274572 Before After
Age:14.0
Gender:Female
Location:Maryland
Vaccinated:2007-02-02
Onset:2007-02-02
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Headache, Inappropriate schedule of drug administration, 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': WAES0702USA03856

Write-up:Information has been received from a registered nurse concerning a 14 year old female with no medical history and no allergies who on 02-FEB-2007 was vaccinated with a second dose of HPV (lot # 655503/00120), intramuscularly. The first dose of GARDASIL was given on 27-Oct-2006. There was no concomitant medication. On 02-FEB-2007 the patient experienced intermittent headache and soreness at the injection site of the left arm. The patient was examined by the physician on 20-FEB-2007 and was recommended Tylenol. The patient''s symptoms lasted for three weeks after which she recovered. No product quality complaint was involved. It was noted that the first dose of HPV was received on 27-OCT-2006. At the time of the report, the patient was considered to be not recovered. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274572&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166