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This is VAERS ID 276158

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276158
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-26
Onset:2007-02-26
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - UN / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Erythema, Headache, Injection site erythema, Injection site pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 16 year old female with an allergy to amoxicillin (+) clavulanate potassium (Augmentin) who on 26-FEB-2007 was vaccinated with the first IM dose of 0.5 ml of Gardasil (lot # 655849/0263)."There was no concomitant medication. Later in the day, on 26-FEB-2007 the patient experienced soreness at the injection site. On 27-FEB-2007 the patient developed arm redness and swelling from injection site to fingertips. There was no itching. The patien


Changed on 12/8/2009

VAERS ID: 276158 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-26
Onset:2007-02-26
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - UN / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Dizziness, Erythema, Headache, Injection site erythema, Injection site pain, Oedema peripheral, Injection site swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0703USA00994

Write-up:Information has been received from a registered nurse concerning a 16 year old female with an allergy to amoxicillin (+) clavulanate potassium (Augmentin) who on 26-FEB-2007 was vaccinated with the first IM dose of 0.5 ml of Gardasil (lot # 655849/0263)."There 655849/0263). There was no concomitant medication. Later in the day, on 26-FEB-2007 the patient experienced soreness at the injection site. On 27-FEB-2007 the patient developed arm redness and swelling from injection site to fingertips. There was no itching. The patien patient also experienced dizziness and headache throughout the day (frequency and duration unknown). The patient took ibuprofen on 28-FEB-2007 for the swelling. The swelling and redness subsided the morning of 01-MAR-2007. The patient was still reporting pain at the injection site and no swelling or redness on 05-MAR-2007. The patient was recovering from dizziness and headache. The patient had not been examined at the office since the vaccination. No lab testing was performed. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 276158 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-26
Onset:2007-02-26
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Erythema, Headache, Injection site erythema, Injection site pain, Oedema peripheral, Injection site swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Drug hypersensitivity
Preexisting Conditions: Drug hypersensitivity
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA00994

Write-up:Information has been received from a registered nurse concerning a 16 year old female with an allergy to amoxicillin (+) clavulanate potassium (Augmentin) who on 26-FEB-2007 was vaccinated with the first IM dose of 0.5 ml of Gardasil (lot # 655849/0263). There was no concomitant medication. Later in the day, on 26-FEB-2007 the patient experienced soreness at the injection site. On 27-FEB-2007 the patient developed arm redness and swelling from injection site to fingertips. There was no itching. The patient also experienced dizziness and headache throughout the day (frequency and duration unknown). The patient took ibuprofen on 28-FEB-2007 for the swelling. The swelling and redness subsided the morning of 01-MAR-2007. The patient was still reporting pain at the injection site and no swelling or redness on 05-MAR-2007. The patient was recovering from dizziness and headache. The patient had not been examined at the office since the vaccination. No lab testing was performed. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 276158 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-26
Onset:2007-02-26
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Erythema, Headache, Injection site erythema, Injection site pain, Oedema peripheral, Injection site swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA00994

Write-up:Information has been received from a registered nurse concerning a 16 year old female with an allergy to amoxicillin (+) clavulanate potassium (Augmentin) who on 26-FEB-2007 was vaccinated with the first IM dose of 0.5 ml of Gardasil (lot # 655849/0263). There was no concomitant medication. Later in the day, on 26-FEB-2007 the patient experienced soreness at the injection site. On 27-FEB-2007 the patient developed arm redness and swelling from injection site to fingertips. There was no itching. The patient also experienced dizziness and headache throughout the day (frequency and duration unknown). The patient took ibuprofen on 28-FEB-2007 for the swelling. The swelling and redness subsided the morning of 01-MAR-2007. The patient was still reporting pain at the injection site and no swelling or redness on 05-MAR-2007. The patient was recovering from dizziness and headache. The patient had not been examined at the office since the vaccination. No lab testing was performed. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 276158 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-26
Onset:2007-02-26
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Erythema, Headache, Injection site erythema, Injection site pain, Oedema peripheral, Injection site swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA00994

Write-up:Information has been received from a registered nurse concerning a 16 year old female with an allergy to amoxicillin (+) clavulanate potassium (Augmentin) who on 26-FEB-2007 was vaccinated with the first IM dose of 0.5 ml of Gardasil (lot # 655849/0263). There was no concomitant medication. Later in the day, on 26-FEB-2007 the patient experienced soreness at the injection site. On 27-FEB-2007 the patient developed arm redness and swelling from injection site to fingertips. There was no itching. The patient also experienced dizziness and headache throughout the day (frequency and duration unknown). The patient took ibuprofen on 28-FEB-2007 for the swelling. The swelling and redness subsided the morning of 01-MAR-2007. The patient was still reporting pain at the injection site and no swelling or redness on 05-MAR-2007. The patient was recovering from dizziness and headache. The patient had not been examined at the office since the vaccination. No lab testing was performed. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276158&WAYBACKHISTORY=ON


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