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This is VAERS ID 276654

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276654
Age:26.0
Gender:Female
Location:California
Vaccinated:2007-01-12
Onset:2007-01-12
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 0 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site scar

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

Write-up:Information has been received from a health professional concerning a 26 year old female patient, who on 12-JAN-2007 was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot# 655617/1447F). Concomitant therapy included hormonal contraceptives (unsp"ecified). On 12-JAN-2007 the patient developed /"a 4mm dimple/scar on her arm./" The patient sought unspecified medical attention. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 276654 Before After
Age:26.0
Gender:Female
Location:California
Vaccinated:2007-01-12
Onset:2007-01-12
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 0 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site scar

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: Latex allergy
Diagnostic Lab Data: Unk
CDC 'Split Type': (blank) WAES0703USA02090

Write-up:Information has been received from a health professional concerning a 26 year old female patient, who on 12-JAN-2007 was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot# 655617/1447F). Concomitant therapy included hormonal contraceptives (unsp"ecified). (unspecified). On 12-JAN-2007 the patient developed /"a "a 4mm dimple/scar on her arm./" arm." The patient sought unspecified medical attention. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276654&WAYBACKHISTORY=ON


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