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This is VAERS ID 276813

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276813
VAERS Form:
Age:27.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-04-13
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Injection site irritation, Throat irritation

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 nurse concerning a 27 year old female (inappropriate age) who on 15-MAR-2007 was vaccinated with HPV. On 15-MAR-2007, the patient experienced burning in her arm near the injection site as well as burning in her throat"after receiving HPV. The patient sought unspecified medical attention. On 15-MAR-2007, the patient recovered from burning in her arm near the injection site and burning in her throat. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 276813 Before After
VAERS Form:
Age:27.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-04-13
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Inappropriate schedule of drug administration, Injection site irritation, Throat irritation

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) WAES0703USA03619

Write-up: Information has been received from a nurse concerning a 27 year old female (inappropriate age) who on 15-MAR-2007 was vaccinated with HPV. On 15-MAR-2007, the patient experienced burning in her arm near the injection site as well as burning in her throat"after throat after receiving HPV. The patient sought unspecified medical attention. On 15-MAR-2007, the patient recovered from burning in her arm near the injection site and burning in her throat. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 276813 Before After
VAERS Form:(blank) 1
Age:27.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-04-13
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Injection site irritation, Throat irritation

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': WAES0703USA03619

Write-up: Information has been received from a nurse concerning a 27 year old female (inappropriate age) who on 15-MAR-2007 was vaccinated with HPV. On 15-MAR-2007, the patient experienced burning in her arm near the injection site as well as burning in her throat after receiving HPV. The patient sought unspecified medical attention. On 15-MAR-2007, the patient recovered from burning in her arm near the injection site and burning in her throat. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 276813 Before After
VAERS Form:1
Age:27.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-04-13
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Injection site irritation, Throat irritation

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': WAES0703USA03619

Write-up: Information has been received from a nurse concerning a 27 year old female (inappropriate age) who on 15-MAR-2007 was vaccinated with HPV. On 15-MAR-2007, the patient experienced burning in her arm near the injection site as well as burning in her throat after receiving HPV. The patient sought unspecified medical attention. On 15-MAR-2007, the patient recovered from burning in her arm near the injection site and burning in her throat. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 276813 Before After
VAERS Form:1
Age:27.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-04-13
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Injection site irritation, Throat irritation

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': WAES0703USA03619

Write-up: Information has been received from a nurse concerning a 27 year old female (inappropriate age) who on 15-MAR-2007 was vaccinated with HPV. On 15-MAR-2007, the patient experienced burning in her arm near the injection site as well as burning in her throat after receiving HPV. The patient sought unspecified medical attention. On 15-MAR-2007, the patient recovered from burning in her arm near the injection site and burning in her throat. Additional information has been requested.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276813&WAYBACKHISTORY=ON


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