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This is VAERS ID 276252

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276252
VAERS Form:
Age:32.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-01
Onset:2006-10-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Medication error, Pain, Pain in extremity

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':

Write-up:Information has been received from a certified family nurse practitioner (CFNP) concerning a 25 year old female clinic employee who in August 2006 was vaccinated with first dose of Gardasil (lot # not reported). In October 2006, the patient was vaccinated"with second dose of Gardasil (lot # not reported. In February 2007, the patient was vaccinated with third dose of Gardasil (lot # not reported). In October 2006, the patient recovered after three days. In February 2007, the patient again experienced sting


Changed on 12/8/2009

276252 Before After
VAERS Form:
Age:32.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-01
Onset:2006-10-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Inappropriate schedule of drug administration, Medication error, Pain, Pain in extremity

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': (blank) WAES0703USA04517

Write-up:Information has been received from a certified family nurse practitioner (CFNP) concerning a 25 year old female clinic employee who in August 2006 was vaccinated with first dose of Gardasil (lot # not reported). In October 2006, the patient was vaccinated"with vaccinated with second dose of Gardasil (lot # not reported. In February 2007, the patient was vaccinated with third dose of Gardasil (lot # not reported). In October 2006, the patient recovered after three days. In February 2007, the patient again experienced sting stinging and sore arm after the third vaccination. The patient recovered after three days. Additional information was received from the CFNP via telephone. The sore arm lasted about 3 days. There was no reaction with the first dose which came from a pre-loaded syringe. The second and third doses of vaccine were from a vial. No additional information has been received.


Changed on 9/14/2017

276252 Before After
VAERS Form:(blank) 1
Age:32.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-01
Onset:2006-10-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Medication error, Pain, Pain in extremity

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': WAES0703USA04517

Write-up:Information has been received from a certified family nurse practitioner (CFNP) concerning a 25 year old female clinic employee who in August 2006 was vaccinated with first dose of Gardasil (lot # not reported). In October 2006, the patient was vaccinated with second dose of Gardasil (lot # not reported. In February 2007, the patient was vaccinated with third dose of Gardasil (lot # not reported). In October 2006, the patient recovered after three days. In February 2007, the patient again experienced stinging and sore arm after the third vaccination. The patient recovered after three days. Additional information was received from the CFNP via telephone. The sore arm lasted about 3 days. There was no reaction with the first dose which came from a pre-loaded syringe. The second and third doses of vaccine were from a vial. No additional information has been received.


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