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This is VAERS ID 276689

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276689
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / - UN / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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 nurse a female who on an unspecified date was vaccinated with Gardasil (0.5 ml) (lot # 655503/0012U). It was reported that several days following vaccination the patient experienced a sharp, shooting pain at the inject"ion site. Unspecified medical attention was sought. No further details were provided. At the time of this report, the patient had not recovered. Additional information has been requested.


Changed on 12/8/2009

276689 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / - UN / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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) WAES0703USA03130

Write-up:Information has been received from a nurse a female who on an unspecified date was vaccinated with Gardasil (0.5 ml) (lot # 655503/0012U). It was reported that several days following vaccination the patient experienced a sharp, shooting pain at the inject"ion injection site. Unspecified medical attention was sought. No further details were provided. At the time of this report, the patient had not recovered. Additional information has been requested.


Changed on 3/2/2010

276689 Before After
VAERS Form:
Age:(blank) 26.0
Gender:Female
Location:Unknown Pennsylvania
Vaccinated:0000-00-00 2007-02-28
Onset:0000-00-00 2007-02-28
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / - 0 UN LA / UN

Administered by: Other Public      Purchased by: Other
Symptoms: Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown None
Allergies:
Diagnostic Lab Data: Unknown None
CDC 'Split Type': WAES0703USA03130

Write-up:Information has been received from a nurse a female who on an unspecified date was vaccinated with Gardasil (0.5 ml) (lot # 655503/0012U). It was reported that several days following vaccination the patient experienced a sharp, shooting pain at the injection site. Unspecified medical attention was sought. No further details were provided. At the time of this report, the patient had not recovered. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow-up information has been received from a nurse a 26 year old female with no pertinent medical history who on 28-FEB-2007 was vaccinated, into the left deltoid, with a first dose of GARDASIL (0.5 ml) (lot # 655503/0012U). On 28-FEB-2007, the patient experienced a sharp, shooting pain at the injection site. The patient called the physician''s office on 14-MAR-2007 at 14:00. It was reported that the pain "comes and goes" and the pain is "worse than the injection". Subsequently, the patient recovered. No further information is available.


Changed on 6/14/2014

276689 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-02-28
Onset:2007-02-28
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 LA / UN

Administered by: Public      Purchased by: Other
Symptoms: Injection site pain

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: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03130

Write-up:Information has been received from a nurse a female who on an unspecified date was vaccinated with Gardasil (0.5 ml) (lot # 655503/0012U). It was reported that several days following vaccination the patient experienced a sharp, shooting pain at the injection site. Unspecified medical attention was sought. No further details were provided. At the time of this report, the patient had not recovered. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow-up information has been received from a nurse a 26 year old female with no pertinent medical history who on 28-FEB-2007 was vaccinated, into the left deltoid, with a first dose of GARDASIL (0.5 ml) (lot # 655503/0012U). On 28-FEB-2007, the patient experienced a sharp, shooting pain at the injection site. The patient called the physician''s office on 14-MAR-2007 at 14:00. It was reported that the pain "comes and goes" and the pain is "worse than the injection". Subsequently, the patient recovered. No further information is available.


Changed on 5/14/2017

276689 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-02-28
Onset:2007-02-28
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 LA / UN

Administered by: Public      Purchased by: Other
Symptoms: Injection site pain

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: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03130

Write-up:Information has been received from a nurse a female who on an unspecified date was vaccinated with Gardasil (0.5 ml) (lot # 655503/0012U). It was reported that several days following vaccination the patient experienced a sharp, shooting pain at the injection site. Unspecified medical attention was sought. No further details were provided. At the time of this report, the patient had not recovered. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow-up information has been received from a nurse a 26 year old female with no pertinent medical history who on 28-FEB-2007 was vaccinated, into the left deltoid, with a first dose of GARDASIL (0.5 ml) (lot # 655503/0012U). On 28-FEB-2007, the patient experienced a sharp, shooting pain at the injection site. The patient called the physician''s office on 14-MAR-2007 at 14:00. It was reported that the pain "comes and goes" and the pain is "worse than the injection". Subsequently, the patient recovered. No further information is available.


Changed on 9/14/2017

276689 Before After
VAERS Form:(blank) 1
Age:26.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-02-28
Onset:2007-02-28
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 1 LA / UN

Administered by: Public      Purchased by: Other
Symptoms: Injection site pain

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: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03130

Write-up:Information has been received from a nurse a female who on an unspecified date was vaccinated with Gardasil (0.5 ml) (lot # 655503/0012U). It was reported that several days following vaccination the patient experienced a sharp, shooting pain at the injection site. Unspecified medical attention was sought. No further details were provided. At the time of this report, the patient had not recovered. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow-up information has been received from a nurse a 26 year old female with no pertinent medical history who on 28-FEB-2007 was vaccinated, into the left deltoid, with a first dose of GARDASIL (0.5 ml) (lot # 655503/0012U). On 28-FEB-2007, the patient experienced a sharp, shooting pain at the injection site. The patient called the physician''s office on 14-MAR-2007 at 14:00. It was reported that the pain "comes and goes" and the pain is "worse than the injection". Subsequently, the patient recovered. No further information is available.


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