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This is VAERS ID 276130

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276130
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site haemorrhage

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type':

Write-up:Information has been received from a physician''''s assistance concerning a female who on 01-MAR-2007 was vaccinated with Gardasil. On 01-MAR-2007, the patient experienced a little blood at injection site when Gardasil was administered. Unspecified medical"attention was sought. The patient''''s outcome was not reported. Additional information has been requested.


Changed on 12/8/2009

276130 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site haemorrhage

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': (blank) WAES0703USA00483

Write-up:Information has been received from a physician''''s physician''s assistance concerning a female who on 01-MAR-2007 was vaccinated with Gardasil. On 01-MAR-2007, the patient experienced a little blood at injection site when Gardasil was administered. Unspecified medical"attention medical attention was sought. The patient''''s patient''s outcome was not reported. Additional information has been requested.


Changed on 9/14/2017

276130 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Injection site haemorrhage

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0703USA00483

Write-up:Information has been received from a physician''s assistance concerning a female who on 01-MAR-2007 was vaccinated with Gardasil. On 01-MAR-2007, the patient experienced a little blood at injection site when Gardasil was administered. Unspecified medical attention was sought. The patient''s outcome was not reported. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276130&WAYBACKHISTORY=ON


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