National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 276156

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276156
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-01-30
Onset:0000-00-00
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Neck mass, Injection site swelling

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: unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female who on 30, Jan 2007, was vaccinated with HPV rL1 6 11 16 18 VLP vaccine (yeast). Subsequently, the patient developed a large lump on her neck and swelling to her thigh at injection site af"ter immunization with HPV rL1 6 11 16 18 VLP vaccine (yeast). Unspecified medical attention was sought. As of 03, Mar 2007, the patient''''s large lump on her neck and swelling to her thigh at injection site persisted. Additional information has been reques


Changed on 12/8/2009

276156 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-01-30
Onset:0000-00-00
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Neck mass, Injection site swelling

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: unknown
CDC 'Split Type': (blank) WAES0703USA00980

Write-up:Information has been received from a physician concerning a female who on 30, Jan 2007, was vaccinated with HPV rL1 6 11 16 18 VLP vaccine (yeast). Subsequently, the patient developed a large lump on her neck and swelling to her thigh at injection site af"ter after immunization with HPV rL1 6 11 16 18 VLP vaccine (yeast). Unspecified medical attention was sought. As of 03, Mar 2007, the patient''''s patient''s large lump on her neck and swelling to her thigh at injection site persisted. Additional information has been reques requested.


Changed on 3/2/2010

276156 Before After
VAERS Form:
Age:(blank) 37.0
Gender:Female
Location:Unknown California
Vaccinated:2007-01-30 2007-02-01
Onset:0000-00-00 2007-02-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 1447F / - 1 UN LA / - UN

Administered by: Other      Purchased by: Other
Symptoms: Neck mass, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: unknown Unknown
CDC 'Split Type': WAES0703USA00980

Write-up:Information has been received from a physician concerning a female who on 30, Jan 2007, was vaccinated with HPV rL1 6 11 16 18 VLP vaccine (yeast). Subsequently, the patient developed a large lump on her neck and swelling to her thigh at injection site after immunization with HPV rL1 6 11 16 18 VLP vaccine (yeast). Unspecified medical attention was sought. As of 03, Mar 2007, the patient''s large lump on her neck and swelling to her thigh at injection site persisted. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. Initial and follow up information has been received from a physician, concerning a 37 year old female patient, who at 1:30pm on 01-FEB-2007 (previously reported as 30-JAN-2007) was vaccinated in the left deltoid (previously reported as the thigh) with the second dose of GARDASIL vaccine (Lot #655617/1447F). On approximately 01-MAR-2007 ("onset at one month"), the patient developed a large lump on her neck and complained of pain in her neck and left arm (previously reported as swelling on the thigh). On 06-MAR-2007, the patient revisited the office, still complaining of pain, and was diagnosed with neck and left arm pain. The physician confirmed that the patient had recovered from the events on 10-MAR-2007. No further information is expected.


Changed on 4/7/2010

276156 Before After
VAERS Form:
Age:37.0
Gender:Female
Location:California
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Neck mass

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA00980

Write-up:Information has been received from a physician concerning a female who on 30, Jan 2007, was vaccinated with HPV rL1 6 11 16 18 VLP vaccine (yeast). GARDASIL. Subsequently, the patient developed a large lump on her neck and swelling to her thigh at injection site after immunization with HPV rL1 6 11 16 18 VLP vaccine (yeast). GARDASIL. Unspecified medical attention was sought. As of 03, Mar 2007, the patient''s large lump on her neck and swelling to her thigh at injection site persisted. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. Initial and follow up information has been received from a physician, concerning a 37 year old female patient, who at 1:30pm on 01-FEB-2007 (previously reported as 30-JAN-2007) was vaccinated in the left deltoid (previously reported as the thigh) with the second dose of GARDASIL vaccine (Lot #655617/1447F). On approximately 01-MAR-2007 ("onset at one month"), the patient developed a large lump on her neck and complained of pain in her neck and left arm (previously reported as swelling on the thigh). On 06-MAR-2007, the patient revisited the office, still complaining of pain, and was diagnosed with neck and left arm pain. The physician confirmed that the patient had recovered from the events on 10-MAR-2007. No further information is expected.


Changed on 7/31/2010

276156 Before After
VAERS Form:
Age:37.0
Gender:Female
Location:California
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Neck pain, Pain in extremity, Neck mass

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA00980

Write-up:Information has been received from a physician concerning a female who on 30, Jan 2007, was vaccinated with GARDASIL. Subsequently, the patient developed a large lump on her neck and swelling to her thigh at injection site after immunization with GARDASIL. Unspecified medical attention was sought. As of 03, Mar 2007, the patient''s large lump on her neck and swelling to her thigh at injection site persisted. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. Initial and follow up information has been received from a physician, concerning a 37 year old female patient, who at 1:30pm on 01-FEB-2007 (previously reported as 30-JAN-2007) was vaccinated in the left deltoid (previously reported as the thigh) with the second dose of GARDASIL vaccine (Lot #655617/1447F). On approximately 01-MAR-2007 ("onset at one month"), the patient developed a large lump on her neck and complained of pain in her neck and left arm (previously reported as swelling on the thigh). On 06-MAR-2007, the patient revisited the office, still complaining of pain, and was diagnosed with neck and left arm pain. The physician confirmed that the patient had recovered from the events on 10-MAR-2007. No further information is expected.


Changed on 6/14/2014

276156 Before After
VAERS Form:
Age:37.0
Gender:Female
Location:California
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Neck pain, Pain in extremity, Neck mass

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA00980

Write-up:Information has been received from a physician concerning a female who on 30, Jan 2007, was vaccinated with GARDASIL. Subsequently, the patient developed a large lump on her neck and swelling to her thigh at injection site after immunization with GARDASIL. Unspecified medical attention was sought. As of 03, Mar 2007, the patient''s large lump on her neck and swelling to her thigh at injection site persisted. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. Initial and follow up information has been received from a physician, concerning a 37 year old female patient, who at 1:30pm on 01-FEB-2007 (previously reported as 30-JAN-2007) was vaccinated in the left deltoid (previously reported as the thigh) with the second dose of GARDASIL vaccine (Lot #655617/1447F). On approximately 01-MAR-2007 ("onset at one month"), the patient developed a large lump on her neck and complained of pain in her neck and left arm (previously reported as swelling on the thigh). On 06-MAR-2007, the patient revisited the office, still complaining of pain, and was diagnosed with neck and left arm pain. The physician confirmed that the patient had recovered from the events on 10-MAR-2007. No further information is expected.


Changed on 5/14/2017

276156 Before After
VAERS Form:
Age:37.0
Gender:Female
Location:California
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Neck pain, Pain in extremity, Neck mass

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA00980

Write-up:Information has been received from a physician concerning a female who on 30, Jan 2007, was vaccinated with GARDASIL. Subsequently, the patient developed a large lump on her neck and swelling to her thigh at injection site after immunization with GARDASIL. Unspecified medical attention was sought. As of 03, Mar 2007, the patient''s large lump on her neck and swelling to her thigh at injection site persisted. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. Initial and follow up information has been received from a physician, concerning a 37 year old female patient, who at 1:30pm on 01-FEB-2007 (previously reported as 30-JAN-2007) was vaccinated in the left deltoid (previously reported as the thigh) with the second dose of GARDASIL vaccine (Lot #655617/1447F). On approximately 01-MAR-2007 ("onset at one month"), the patient developed a large lump on her neck and complained of pain in her neck and left arm (previously reported as swelling on the thigh). On 06-MAR-2007, the patient revisited the office, still complaining of pain, and was diagnosed with neck and left arm pain. The physician confirmed that the patient had recovered from the events on 10-MAR-2007. No further information is expected.


Changed on 9/14/2017

276156 Before After
VAERS Form:(blank) 1
Age:37.0
Gender:Female
Location:California
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 2 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Neck pain, Pain in extremity, Neck mass

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA00980

Write-up:Information has been received from a physician concerning a female who on 30, Jan 2007, was vaccinated with GARDASIL. Subsequently, the patient developed a large lump on her neck and swelling to her thigh at injection site after immunization with GARDASIL. Unspecified medical attention was sought. As of 03, Mar 2007, the patient''s large lump on her neck and swelling to her thigh at injection site persisted. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. Initial and follow up information has been received from a physician, concerning a 37 year old female patient, who at 1:30pm on 01-FEB-2007 (previously reported as 30-JAN-2007) was vaccinated in the left deltoid (previously reported as the thigh) with the second dose of GARDASIL vaccine (Lot #655617/1447F). On approximately 01-MAR-2007 ("onset at one month"), the patient developed a large lump on her neck and complained of pain in her neck and left arm (previously reported as swelling on the thigh). On 06-MAR-2007, the patient revisited the office, still complaining of pain, and was diagnosed with neck and left arm pain. The physician confirmed that the patient had recovered from the events on 10-MAR-2007. No further information is expected.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276156&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166