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This is VAERS ID 276649

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276649
Age:26.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-02-15
Onset:2007-02-22
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655503/0012U / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration, Pyrexia

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

Write-up:Information has been received from a nurse practitioner concerning a 26 year old female who on 15-FEB-2007 was vaccinated with the first dose of Gardasil (yeast) (lot# 655503/0012U). On approximately 22-February-2007, /"approximately one week after vaccin"ation/", the patient developed a 10 cm. firm, red area at the injection site, and a low grade fever. The patient was scheduled to be seen by a health care provider on 12-MAR-2007. At the time of this report, the outcome of the events was unknown. Addition


Changed on 12/8/2009

VAERS ID: 276649 Before After
Age:26.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-02-15
Onset:2007-02-22
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655503/0012U / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site erythema, Injection site induration, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA01567

Write-up:Information has been received from a nurse practitioner concerning a 26 year old female who on 15-FEB-2007 was vaccinated with the first dose of Gardasil (yeast) (lot# 655503/0012U). On approximately 22-February-2007, /"approximately "approximately one week after vaccin"ation/", vaccination", the patient developed a 10 cm. firm, red area at the injection site, and a low grade fever. The patient was scheduled to be seen by a health care provider on 12-MAR-2007. At the time of this report, the outcome of the events was unknown. Addition Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276649&WAYBACKHISTORY=ON


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