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This is VAERS ID 275007

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

275007
VAERS Form:
Age:19.0
Gender:Female
Location:New York
Vaccinated:2007-03-23
Onset:2007-03-24
Submitted:2007-03-27
Entered:2007-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: PREVICID 30 MG DAILY
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:APPROX. 24 HOURS AFTER VACCINE BEGAN WITH MUSCULAR NECK,BACK,LEG AND ARM PAIN.


Changed on 12/8/2009

275007 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:New York
Vaccinated:2007-03-23
Onset:2007-03-24
Submitted:2007-03-27
Entered:2007-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: PREVICID 30 MG DAILY
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:APPROX. 24 HOURS AFTER VACCINE BEGAN WITH MUSCULAR NECK,BACK,LEG AND ARM PAIN.


Changed on 9/14/2017

275007 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:New York
Vaccinated:2007-03-23
Onset:2007-03-24
Submitted:2007-03-27
Entered:2007-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: PREVICID 30 MG DAILY
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:APPROX. 24 HOURS AFTER VACCINE BEGAN WITH MUSCULAR NECK,BACK,LEG AND ARM PAIN.


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