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This is VAERS ID 276113

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276113
VAERS Form:
Age:40.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-27
Onset:2007-02-27
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: estrogens (unspecified)
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner (NP) concerning a 40 year old female who on 27, Feb 2007 was vaccinated with the first dose, 0.5 ml, of HPV rL1 6 11 16 18 VLP vaccine (yeast). concomitant therapy included estrogens (unspecified. On"27, Feb 2007, /"starting a short time after her first dose, /"the NP reported that the patient experienced pain at the injection site. At the time of this report, the patient was recovering from the event. The patient sought unspecified medical attention.


Changed on 12/8/2009

276113 Before After
VAERS Form:
Age:40.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-27
Onset:2007-02-27
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Inappropriate schedule of drug administration, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: estrogens (unspecified)
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA00227

Write-up:Information has been received from a nurse practitioner (NP) concerning a 40 year old female who on 27, Feb 2007 was vaccinated with the first dose, 0.5 ml, of HPV rL1 6 11 16 18 VLP vaccine (yeast). concomitant therapy included estrogens (unspecified. On"27, On 27, Feb 2007, /"starting "starting a short time after her first dose, /"the "the NP reported that the patient experienced pain at the injection site. At the time of this report, the patient was recovering from the event. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 9/14/2017

276113 Before After
VAERS Form:(blank) 1
Age:40.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-27
Onset:2007-02-27
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / -

Administered by: Other      Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: estrogens (unspecified)
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA00227

Write-up:Information has been received from a nurse practitioner (NP) concerning a 40 year old female who on 27, Feb 2007 was vaccinated with the first dose, 0.5 ml, of HPV rL1 6 11 16 18 VLP vaccine (yeast). concomitant therapy included estrogens (unspecified. On 27, Feb 2007, "starting a short time after her first dose, "the NP reported that the patient experienced pain at the injection site. At the time of this report, the patient was recovering from the event. The patient sought unspecified medical attention. Additional information has been requested.


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