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This is VAERS ID 276069

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276069
VAERS Form:
Age:13.0
Gender:Female
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-11
Entered:2007-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 14478 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Pain in extremity, Ultrasound scan

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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: ultrasound
CDC 'Split Type':

Write-up:Left arm started hurting 3 days after HPV #2 administration. Continued with pain in arm 1 month after administration of shot


Changed on 9/14/2017

276069 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-11
Entered:2007-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 14478 / 1 2 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Pain in extremity, Ultrasound scan

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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: ultrasound
CDC 'Split Type':

Write-up:Left arm started hurting 3 days after HPV #2 administration. Continued with pain in arm 1 month after administration of shot


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276069&WAYBACKHISTORY=ON


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