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This is VAERS ID 276655

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276655
VAERS Form:
Age:19.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site swelling, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Initial and follow-up information has been received from a physician and a Registered Nurse (R.N.) concerning a 19 year old female who on 05-MAR-2007 was vaccinated IM in her left deltoid with a first dose of Gardasil. Patient developed immediate swelling"and erythema at the injection site. No other symptoms appeared. No prescription medication was provided. The patient recovered within the time she was in the office. Additional information is not expected.


Changed on 12/8/2009

276655 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site erythema, Injection site swelling, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA02121

Write-up:Initial and follow-up information has been received from a physician and a Registered Nurse (R.N.) concerning a 19 year old female who on 05-MAR-2007 was vaccinated IM in her left deltoid with a first dose of Gardasil. Patient developed immediate swelling"and swelling and erythema at the injection site. No other symptoms appeared. No prescription medication was provided. The patient recovered within the time she was in the office. Additional information is not expected.


Changed on 3/2/2010

276655 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No 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': WAES0703USA02121

Write-up:Initial and follow-up information has been received from a physician and a Registered Nurse (R.N.) concerning a 19 year old female who on 05-MAR-2007 was vaccinated IM in her left deltoid with a first dose of Gardasil. Patient developed immediate swelling and erythema at the injection site. No other symptoms appeared. No prescription medication was provided. The patient recovered within the time she was in the office. Additional information is not expected.


Changed on 6/14/2014

276655 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling, Immediate post-injection reaction

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': WAES0703USA02121

Write-up:Initial and follow-up information has been received from a physician and a Registered Nurse (R.N.) concerning a 19 year old female who on 05-MAR-2007 was vaccinated IM in her left deltoid with a first dose of Gardasil. Patient developed immediate swelling and erythema at the injection site. No other symptoms appeared. No prescription medication was provided. The patient recovered within the time she was in the office. Additional information is not expected.


Changed on 5/14/2017

276655 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling, Immediate post-injection reaction

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': WAES0703USA02121

Write-up:Initial and follow-up information has been received from a physician and a Registered Nurse (R.N.) concerning a 19 year old female who on 05-MAR-2007 was vaccinated IM in her left deltoid with a first dose of Gardasil. Patient developed immediate swelling and erythema at the injection site. No other symptoms appeared. No prescription medication was provided. The patient recovered within the time she was in the office. Additional information is not expected.


Changed on 9/14/2017

276655 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling, Immediate post-injection reaction

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': WAES0703USA02121

Write-up:Initial and follow-up information has been received from a physician and a Registered Nurse (R.N.) concerning a 19 year old female who on 05-MAR-2007 was vaccinated IM in her left deltoid with a first dose of Gardasil. Patient developed immediate swelling and erythema at the injection site. No other symptoms appeared. No prescription medication was provided. The patient recovered within the time she was in the office. Additional information is not expected.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276655&WAYBACKHISTORY=ON


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