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This is VAERS ID 276300

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276300
VAERS Form:
Age:23.0
Gender:Female
Location:Delaware
Vaccinated:2007-03-15
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site pain, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:c/o soreness in arm since injection on 3/15/07. Pt came in 4/13/07 with above symptoms not note to us before this date


Changed on 12/8/2009

276300 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Delaware
Vaccinated:2007-03-15
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / -

Administered by: Private      Purchased by: Unknown Public
Symptoms: Injection site pain, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:c/o soreness in arm since injection on 3/15/07. Pt came in 4/13/07 with above symptoms not note to us before this date


Changed on 9/14/2017

276300 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:Delaware
Vaccinated:2007-03-15
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 1 LA / -

Administered by: Private      Purchased by: Public
Symptoms: Injection site pain, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:c/o soreness in arm since injection on 3/15/07. Pt came in 4/13/07 with above symptoms not note to us before this date


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