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This is VAERS ID 275584

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 275584
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-04-03
Entered:2007-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Chest discomfort, Dyspnoea, Erythema, Injection site pain

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

Write-up:Information has been received from a registered nurse (a school nurse), via a company representative, concerning a 16 year old female patient, who in March 2007, was vaccinated with a dose, 0.5ml, IM, of Gardasil. The nurse reported that on the following"day, the patient developed swelling and pain at the injection site, chest tightness, shortness of breath and facial redness, and was transported by ambulance to the emergency room. The nurse stated that treatment included oxygen, and epinephrine injection


Changed on 12/8/2009

VAERS ID: 275584 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-04-03
Entered:2007-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Chest discomfort, Dyspnoea, Erythema, Injection site pain, Oxygen supplementation, Injection site swelling

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA05676

Write-up:Information has been received from a registered nurse (a school nurse), via a company representative, concerning a 16 year old female patient, who in March 2007, was vaccinated with a dose, 0.5ml, IM, of Gardasil. The nurse reported that on the following"day, following day, the patient developed swelling and pain at the injection site, chest tightness, shortness of breath and facial redness, and was transported by ambulance to the emergency room. The nurse stated that treatment included oxygen, and epinephrine injection injection, and prednisone. Following treatment "the patient''s symptoms resolved and the patient completely recovered." The nurse considered the events to be life threatening and disabling. Additional information has been requested.


Changed on 2/13/2013

VAERS ID: 275584 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-04-03
Entered:2007-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest discomfort, Dyspnoea, Erythema, Injection site pain, Oxygen supplementation, Injection site swelling

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA05676

Write-up:Information has been received from a registered nurse (a school nurse), via a company representative, concerning a 16 year old female patient, who in March 2007, was vaccinated with a dose, 0.5ml, IM, of Gardasil. The nurse reported that on the following day, the patient developed swelling and pain at the injection site, chest tightness, shortness of breath and facial redness, and was transported by ambulance to the emergency room. The nurse stated that treatment included oxygen, and epinephrine injection, and prednisone. Following treatment "the patient''s symptoms resolved and the patient completely recovered." The nurse considered the events to be life threatening and disabling. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 275584 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-04-03
Entered:2007-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest discomfort, Dyspnoea, Erythema, Injection site pain, Oxygen supplementation, Injection site swelling

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA05676

Write-up:Information has been received from a registered nurse (a school nurse), via a company representative, concerning a 16 year old female patient, who in March 2007, was vaccinated with a dose, 0.5ml, IM, of Gardasil. The nurse reported that on the following day, the patient developed swelling and pain at the injection site, chest tightness, shortness of breath and facial redness, and was transported by ambulance to the emergency room. The nurse stated that treatment included oxygen, and epinephrine injection, and prednisone. Following treatment "the patient''s symptoms resolved and the patient completely recovered." The nurse considered the events to be life threatening and disabling. Additional information has been requested.


Changed on 3/14/2015

VAERS ID: 275584 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-04-03
Entered:2007-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest discomfort, Dyspnoea, Erythema, Injection site pain, Oxygen supplementation, Injection site swelling

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA05676

Write-up:Information has been received from a registered nurse (a school nurse), via a company representative, concerning a 16 year old female patient, who in March 2007, was vaccinated with a dose, 0.5ml, IM, of Gardasil. The nurse reported that on the following day, the patient developed swelling and pain at the injection site, chest tightness, shortness of breath and facial redness, and was transported by ambulance to the emergency room. The nurse stated that treatment included oxygen, and epinephrine injection, and prednisone. Following treatment "the patient''s symptoms resolved and the patient completely recovered." The nurse considered the events to be life threatening and disabling. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=275584&WAYBACKHISTORY=ON


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