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This is VAERS ID 274722

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274722
Age:17.0
Gender:Female
Location:New Mexico
Vaccinated:2006-11-28
Onset:2006-11-29
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Cardiac murmur
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a Registered Nurse (R.N.) concerning a 17 year old female with a cardiac murmur who on 28-NOV-2006 was vaccinated IM with her first dose of HPV, lot #654540/0800F. On 29-FEB-06 the patient experienced minor soreness arou"nd the injection site. The patient did not return for her 2nd dose until 27-FEB-2007. The patient recovered. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 274722 Before After
Age:17.0
Gender:Female
Location:New Mexico
Vaccinated:2006-11-28
Onset:2006-11-29
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Cardiac murmur
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0702USA04640

Write-up:Information has been received from a Registered Nurse (R.N.) concerning a 17 year old female with a cardiac murmur who on 28-NOV-2006 was vaccinated IM with her first dose of HPV, lot #654540/0800F. On 29-FEB-06 the patient experienced minor soreness arou"nd around the injection site. The patient did not return for her 2nd dose until 27-FEB-2007. The patient recovered. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274722&WAYBACKHISTORY=ON


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