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This is VAERS ID 275921

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

275921
VAERS Form:
Age:21.0
Gender:Female
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-03
Entered:2007-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Musculoskeletal pain, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Gynazole vaginal cream
Current Illness: Yeast vaginitis
Preexisting Conditions: Acne
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:On 3-24 07 patient developed pain on her left shoulder /left elbow/left knee / left shin/and left ankle (no arthritis) (injection was left arm)


Changed on 12/8/2009

275921 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-03
Entered:2007-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Arthralgia, Musculoskeletal pain, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Gynazole vaginal cream
Current Illness: Yeast vaginitis
Preexisting Conditions: Acne
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:On 3-24 07 patient developed pain on her left shoulder /left elbow/left knee / left shin/and left ankle (no arthritis) (injection was left arm)


Changed on 9/14/2017

275921 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-03
Entered:2007-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Musculoskeletal pain, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Gynazole vaginal cream
Current Illness: Yeast vaginitis
Preexisting Conditions: Acne
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:On 3-24 07 patient developed pain on her left shoulder /left elbow/left knee / left shin/and left ankle (no arthritis) (injection was left arm)


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