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This is VAERS ID 276822

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276822
VAERS Form:
Age:22.0
Gender:Female
Location:Delaware
Vaccinated:2007-01-19
Onset:2007-01-19
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site anaesthesia, Injection site pain, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a registered nurse, via a company representative, concerning the nurse''''s daughter, a 22 year old female patient, who on 19-JAN-2007 was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot# 654540/0800F). There w"as no concomitant medication. On 19-JAN-2007 the patient /"experienced numbness and tenderness around the injection site./" The nurse reported that the pain woke her daughter up at night and continued for a month, and indicated that /"contact with the are


Changed on 12/8/2009

276822 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Delaware
Vaccinated:2007-01-19
Onset:2007-01-19
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site anaesthesia, Injection site pain, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0703USA03715

Write-up:Information has been received from a registered nurse, via a company representative, concerning the nurse''''s nurse''s daughter, a 22 year old female patient, who on 19-JAN-2007 was vaccinated with the first dose, 0.5ml, IM, of Gardasil (Lot# 654540/0800F). There w"as was no concomitant medication. On 19-JAN-2007 the patient /"experienced "experienced numbness and tenderness around the injection site./" site." The nurse reported that the pain woke her daughter up at night and continued for a month, and indicated that /"contact "contact with the are area was extremely painful. There was no swelling or erythema." On 18-FEB-2007, the patient had recovered from the numbness and tenderness. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 3/2/2010

276822 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Delaware
Vaccinated:2007-01-19
Onset:2007-01-19
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 UN / IM

Administered by: Unknown Private      Purchased by: Unknown Private
Symptoms: Injection site anaesthesia, Injection site pain, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03715

Write-up:Information This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow up information has been received from a registered nurse, via a company representative, concerning the nurse''s daughter, a 22 year old female patient, who on 19-JAN-2007 was vaccinated with the first dose, 0.5ml, IM, of Gardasil GARDASIL (Lot# 654540/0800F). There was no concomitant medication. On 19-JAN-2007 19-JAN-2007, beginning at 2:00pm, the patient "experienced numbness and tenderness around the injection site." The nurse reported that her daughter had a painful deltoid for eight weeks and that sometimes the pain woke her daughter up at night and continued for a month, and indicated that "contact with the area was extremely painful. There was no swelling or erythema." On 18-FEB-2007, 19-FEB-2007 (previously reported as 18-FEB-2007), the patient had recovered from the numbness and tenderness. tenderness, and the second dose of GARDASIL was then administered without any problems. The patient sought unspecified medical attention. Additional No further information has been requested. is expected.


Changed on 4/7/2010

276822 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Delaware
Vaccinated:2007-01-19
Onset:2007-01-19
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Hyperaesthesia, Injection site anaesthesia, Injection site pain, Pain in extremity, Sleep disorder

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03715

Write-up:This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow up information has been received from a registered nurse, via a company representative, concerning the nurse''s daughter, a 22 year old female patient, who on 19-JAN-2007 was vaccinated with the first dose, 0.5ml, IM, of GARDASIL (Lot# 654540/0800F). There was no concomitant medication. On 19-JAN-2007, beginning at 2:00pm, the patient "experienced numbness and tenderness around the injection site." The nurse reported that her daughter had a painful deltoid for eight weeks and that sometimes the pain woke her daughter up at night and continued for a month, and indicated that "contact with the area was extremely painful. There was no swelling or erythema." On 19-FEB-2007 (previously reported as 18-FEB-2007), the patient had recovered from the numbness and tenderness, and the second dose of GARDASIL was then administered without any problems. The patient sought unspecified medical attention. No further information is expected.


Changed on 6/14/2014

276822 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Delaware
Vaccinated:2007-01-19
Onset:2007-01-19
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Hyperaesthesia, Injection site anaesthesia, Injection site pain, Pain in extremity, Sleep disorder

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03715

Write-up:This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow up information has been received from a registered nurse, via a company representative, concerning the nurse''s daughter, a 22 year old female patient, who on 19-JAN-2007 was vaccinated with the first dose, 0.5ml, IM, of GARDASIL (Lot# 654540/0800F). There was no concomitant medication. On 19-JAN-2007, beginning at 2:00pm, the patient "experienced numbness and tenderness around the injection site." The nurse reported that her daughter had a painful deltoid for eight weeks and that sometimes the pain woke her daughter up at night and continued for a month, and indicated that "contact with the area was extremely painful. There was no swelling or erythema." On 19-FEB-2007 (previously reported as 18-FEB-2007), the patient had recovered from the numbness and tenderness, and the second dose of GARDASIL was then administered without any problems. The patient sought unspecified medical attention. No further information is expected.


Changed on 5/14/2017

276822 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Delaware
Vaccinated:2007-01-19
Onset:2007-01-19
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Hyperaesthesia, Injection site anaesthesia, Injection site pain, Pain in extremity, Sleep disorder

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03715

Write-up:This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow up information has been received from a registered nurse, via a company representative, concerning the nurse''s daughter, a 22 year old female patient, who on 19-JAN-2007 was vaccinated with the first dose, 0.5ml, IM, of GARDASIL (Lot# 654540/0800F). There was no concomitant medication. On 19-JAN-2007, beginning at 2:00pm, the patient "experienced numbness and tenderness around the injection site." The nurse reported that her daughter had a painful deltoid for eight weeks and that sometimes the pain woke her daughter up at night and continued for a month, and indicated that "contact with the area was extremely painful. There was no swelling or erythema." On 19-FEB-2007 (previously reported as 18-FEB-2007), the patient had recovered from the numbness and tenderness, and the second dose of GARDASIL was then administered without any problems. The patient sought unspecified medical attention. No further information is expected.


Changed on 9/14/2017

276822 Before After
VAERS Form:(blank) 1
Age:22.0
Gender:Female
Location:Delaware
Vaccinated:2007-01-19
Onset:2007-01-19
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 1 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Hyperaesthesia, Injection site anaesthesia, Injection site pain, Pain in extremity, Sleep disorder

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03715

Write-up:This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow up information has been received from a registered nurse, via a company representative, concerning the nurse''s daughter, a 22 year old female patient, who on 19-JAN-2007 was vaccinated with the first dose, 0.5ml, IM, of GARDASIL (Lot# 654540/0800F). There was no concomitant medication. On 19-JAN-2007, beginning at 2:00pm, the patient "experienced numbness and tenderness around the injection site." The nurse reported that her daughter had a painful deltoid for eight weeks and that sometimes the pain woke her daughter up at night and continued for a month, and indicated that "contact with the area was extremely painful. There was no swelling or erythema." On 19-FEB-2007 (previously reported as 18-FEB-2007), the patient had recovered from the numbness and tenderness, and the second dose of GARDASIL was then administered without any problems. The patient sought unspecified medical attention. No further information is expected.


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