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This is VAERS ID 276641

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276641
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-01-16
Onset:2007-01-16
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pain in extremity, Sensation of heaviness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormonal contraceptives
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner concerning a 17 year old female patient who was vaccinated with Gardasil (lot# 655619/1427F) (0.5 ml), intramuscularly in the deltoid. Concomitant therapy included birth control pills. Subsequently t"he patient complained of heaviness and pain in left arm. The patient outcome was reported as recovered. No product quality complaint was involved.


Changed on 12/8/2009

VAERS ID: 276641 Before After
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-01-16
Onset:2007-01-16
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pain in extremity, Sensation of heaviness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormonal contraceptives
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0702USA01030

Write-up:Information has been received from a nurse practitioner concerning a 17 year old female patient who was vaccinated with Gardasil (lot# 655619/1427F) (0.5 ml), intramuscularly in the deltoid. Concomitant therapy included birth control pills. Subsequently t"he the patient complained of heaviness and pain in left arm. The patient outcome was reported as recovered. No product quality complaint was involved.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276641&WAYBACKHISTORY=ON


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