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This is VAERS ID 276832

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276832
Age:14.0
Gender:Female
Location:California
Vaccinated:2007-01-12
Onset:2007-02-20
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: (therapy unspecified), ADDERALL TABLETS, STRATTERA, bupropion hydrochloride, PROZAC, minocycline, SINGULAIR, ranitidine
Current Illness: Prophylactic vaccination
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a Registered Nurse Practitioner (R.N.P.) concerning a 14 year old female student who on 12-JAN-2007 was vaccinated IM in her left deltoid with a first dose of Gardasil, lot# 655619/1427F. Concomitant therapy included ADD"ERALL TABLETS, STRATTERA, PROZAC, montelukast sodium, bupropion, /"exofendadine/", ranitidine and minocycline. Of note, the patient was switching from CONCERTA to ADDERALL. On 20-FEB-2007 the patient developed arthralgias in hips, ankles, and hands. Patie


Changed on 12/8/2009

VAERS ID: 276832 Before After
Age:14.0
Gender:Female
Location:California
Vaccinated:2007-01-12
Onset:2007-02-20
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Arthralgia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: (therapy unspecified), ADDERALL TABLETS, STRATTERA, bupropion hydrochloride, PROZAC, minocycline, SINGULAIR, ranitidine
Current Illness: Prophylactic vaccination
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA03860

Write-up:Information has been received from a Registered Nurse Practitioner (R.N.P.) concerning a 14 year old female student who on 12-JAN-2007 was vaccinated IM in her left deltoid with a first dose of Gardasil, lot# 655619/1427F. Concomitant therapy included ADD"ERALL ADDERALL TABLETS, STRATTERA, PROZAC, montelukast sodium, bupropion, /"exofendadine/", "exofendadine", ranitidine and minocycline. Of note, the patient was switching from CONCERTA to ADDERALL. On 20-FEB-2007 the patient developed arthralgias in hips, ankles, and hands. Patie Patient saw pediatrician. It was reported that the events persisted as of 09-MAR-2007. On 16-MAR-2007 the patient''s mother reported, the events resolved. The outcome was unknown. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276832&WAYBACKHISTORY=ON


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