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This is VAERS ID 275639

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 275639
VAERS Form:
Age:11.0
Gender:Female
Location:North Carolina
Vaccinated:2007-03-15
Onset:2007-03-23
Submitted:2007-04-03
Entered:2007-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Bone pain, Myalgia, Tendonitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Amox, itching; hx eczema, hay fever
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: myalgias, bone pain, tendonitis


Changed on 12/8/2009

VAERS ID: 275639 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:North Carolina
Vaccinated:2007-03-15
Onset:2007-03-23
Submitted:2007-04-03
Entered:2007-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Bone pain, Myalgia, Tendonitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Amox, itching; hx eczema, hay fever
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: myalgias, bone pain, tendonitis


Changed on 9/14/2017

VAERS ID: 275639 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:North Carolina
Vaccinated:2007-03-15
Onset:2007-03-23
Submitted:2007-04-03
Entered:2007-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Bone pain, Myalgia, Tendonitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Amox, itching; hx eczema, hay fever
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: myalgias, bone pain, tendonitis


Changed on 2/14/2018

VAERS ID: 275639 Before After
VAERS Form:1
Age:11.0
Gender:Female
Location:North Carolina
Vaccinated:2007-03-15
Onset:2007-03-23
Submitted:2007-04-03
Entered:2007-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Bone pain, Myalgia, Tendonitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Amox, itching; hx eczema, hay fever
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: myalgias, bone pain, tendonitis


Changed on 6/14/2018

VAERS ID: 275639 Before After
VAERS Form:1
Age:11.0
Gender:Female
Location:North Carolina
Vaccinated:2007-03-15
Onset:2007-03-23
Submitted:2007-04-03
Entered:2007-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Bone pain, Myalgia, Tendonitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Amox, itching; hx eczema, hay fever
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: myalgias, bone pain, tendonitis

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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=275639&WAYBACKHISTORY=ON


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