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This is VAERS ID 276651

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276651
VAERS Form:
Age:25.0
Gender:Female
Location:Minnesota
Vaccinated:2007-03-08
Onset:2007-03-09
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Chest discomfort, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling

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 registered nurse concerning a 25 year old female who on 08-MAR-2007 was vaccinated with Gardasil. On 09-MAR-2007 the patient experienced redness, pain, swelling and rash at the injection site. The patient called the ph"ysicians office and was asked if she had trouble breathing. The patient reported no trouble breathing and was instructed to take BENADRYL. Then patient then called the physician''''s office back to report she had developed tightness in her chest. The tightn


Changed on 12/8/2009

276651 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:Minnesota
Vaccinated:2007-03-08
Onset:2007-03-09
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Chest discomfort, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling

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) WAES0703USA01596

Write-up:Information has been received from a registered nurse concerning a 25 year old female who on 08-MAR-2007 was vaccinated with Gardasil. On 09-MAR-2007 the patient experienced redness, pain, swelling and rash at the injection site. The patient called the ph"ysicians physicians office and was asked if she had trouble breathing. The patient reported no trouble breathing and was instructed to take BENADRYL. Then patient then called the physician''''s physician''s office back to report she had developed tightness in her chest. The tightn tightness in her chest resolved with BENADRYL. Additional information has been requested.


Changed on 9/14/2017

276651 Before After
VAERS Form:(blank) 1
Age:25.0
Gender:Female
Location:Minnesota
Vaccinated:2007-03-08
Onset:2007-03-09
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Chest discomfort, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling

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': WAES0703USA01596

Write-up:Information has been received from a registered nurse concerning a 25 year old female who on 08-MAR-2007 was vaccinated with Gardasil. On 09-MAR-2007 the patient experienced redness, pain, swelling and rash at the injection site. The patient called the physicians office and was asked if she had trouble breathing. The patient reported no trouble breathing and was instructed to take BENADRYL. Then patient then called the physician''s office back to report she had developed tightness in her chest. The tightness in her chest resolved with BENADRYL. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276651&WAYBACKHISTORY=ON


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