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This is VAERS ID 274727

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274727
Age:14.0
Gender:Female
Location:New Jersey
Vaccinated:2006-12-28
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Neck pain, Pain in extremity, Adverse event

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

Write-up:Information has been received from a registered nurse concerning a 14 year old female with asthma who on 26-OCT-2006 was vaccinated with the first 0.5 ml dose of Gardasil, (Lot # 653735/0688F). On 12-28-06, the patient was vaccinated with the second 0.5 m"l dose of Gardasil (Lot # /"0916F/"). The nurse reported that the patient had adverse experiences after vaccination. The patient experienced neck pain. Also, the patient''''s arm /"had hurt all the way down, off and on/". At the time of the report the patie


Changed on 12/8/2009

VAERS ID: 274727 Before After
Age:14.0
Gender:Female
Location:New Jersey
Vaccinated:2006-12-28
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Neck pain, Pain in extremity, Adverse event

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0703USA00002

Write-up:Information has been received from a registered nurse concerning a 14 year old female with asthma who on 26-OCT-2006 was vaccinated with the first 0.5 ml dose of Gardasil, (Lot # 653735/0688F). On 12-28-06, the patient was vaccinated with the second 0.5 m"l ml dose of Gardasil (Lot # /"0916F/"). "0916F"). The nurse reported that the patient had adverse experiences after vaccination. The patient experienced neck pain. Also, the patient''''s patient''s arm /"had "had hurt all the way down, off and on/". on". At the time of the report the patie patient''s symptoms began after the first and second dose of Gardasil. At the time of the report, the symptoms had not resolved. The nurse also mentioned that the patient participated in gymnastics. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 274727 Before After
Age:14.0
Gender:Female
Location:New Jersey
Vaccinated:2006-12-28
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0688F / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Neck pain, Pain in extremity, Adverse event

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA00002

Write-up:Information has been received from a registered nurse concerning a 14 year old female with asthma who on 26-OCT-2006 was vaccinated with the first 0.5 ml dose of Gardasil, (Lot # 653735/0688F). On 12-28-06, the patient was vaccinated with the second 0.5 ml dose of Gardasil (Lot # "0916F"). The nurse reported that the patient had adverse experiences after vaccination. The patient experienced neck pain. Also, the patient''s arm "had hurt all the way down, off and on". At the time of the report the patient''s symptoms began after the first and second dose of Gardasil. At the time of the report, the symptoms had not resolved. The nurse also mentioned that the patient participated in gymnastics. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 274727 Before After
Age:14.0
Gender:Female
Location:New Jersey
Vaccinated:2006-12-28 2006-10-26
Onset:0000-00-00 2006-10-26
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F 653735/0688F / 1 - / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Neck pain, Pain in extremity, Adverse event

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA00002

Write-up:Information has been received from a registered nurse concerning a 14 year old female with asthma who on 26-OCT-2006 was vaccinated with the first 0.5 ml dose of Gardasil, GARDASIL vaccine (yeast), (Lot # 653735/0688F). 653735/0688P). On 12-28-06, the patient was vaccinated with the second 0.5 ml dose of Gardasil GARDASIL vaccine (yeast) (Lot # "0916F"). 654389/0916F). The nurse reported that the patient had adverse experiences after vaccination. The patient experienced neck pain. Also, the patient''s arm "had hurt all the way down, off and on". At the time of the report the patient''s symptoms began after the first and second dose of Gardasil. GARDASIL vaccine (yeast). At the time of the report, the symptoms had not resolved. The nurse also mentioned that the patient participated in gymnastics. Additional information has been requested. This is in follow-up to report(s) previously submitted on 3/14/2007. Since her initial injection, on 26-OCT-2006 (AE onste date also reported on 17-FEB-2007).


Changed on 6/14/2014

VAERS ID: 274727 Before After
Age:14.0
Gender:Female
Location:New Jersey
Vaccinated:2006-10-26
Onset:2006-10-26
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 653735/0688F / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Neck pain, Pain in extremity

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA00002

Write-up:Information has been received from a registered nurse concerning a 14 year old female with asthma who on 26-OCT-2006 was vaccinated with the first 0.5 ml dose of GARDASIL vaccine (yeast), (Lot # 653735/0688P). On 12-28-06, the patient was vaccinated with the second 0.5 ml dose of GARDASIL vaccine (yeast) (Lot # 654389/0916F). The nurse reported that the patient had adverse experiences after vaccination. The patient experienced neck pain. Also, the patient''s arm "had hurt all the way down, off and on". At the time of the report the patient''s symptoms began after the first and second dose of GARDASIL vaccine (yeast). At the time of the report, the symptoms had not resolved. The nurse also mentioned that the patient participated in gymnastics. Additional information has been requested. This is in follow-up to report(s) previously submitted on 3/14/2007. Since her initial injection, on 26-OCT-2006 (AE onste date also reported on 17-FEB-2007).


Changed on 5/14/2017

VAERS ID: 274727 Before After
Age:14.0
Gender:Female
Location:New Jersey
Vaccinated:2006-10-26
Onset:2006-10-26
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 653735/0688F / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Neck pain, Pain in extremity

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA00002

Write-up:Information has been received from a registered nurse concerning a 14 year old female with asthma who on 26-OCT-2006 was vaccinated with the first 0.5 ml dose of GARDASIL vaccine (yeast), (Lot # 653735/0688P). On 12-28-06, the patient was vaccinated with the second 0.5 ml dose of GARDASIL vaccine (yeast) (Lot # 654389/0916F). The nurse reported that the patient had adverse experiences after vaccination. The patient experienced neck pain. Also, the patient''s arm "had hurt all the way down, off and on". At the time of the report the patient''s symptoms began after the first and second dose of GARDASIL vaccine (yeast). At the time of the report, the symptoms had not resolved. The nurse also mentioned that the patient participated in gymnastics. Additional information has been requested. This is in follow-up to report(s) previously submitted on 3/14/2007. Since her initial injection, on 26-OCT-2006 (AE onste date also reported on 17-FEB-2007).


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