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This is VAERS ID 276851

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276851
Age:23.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-05
Onset:2007-03-06
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Allergic skin reaction
Preexisting Conditions: Drug rash
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 23 year old female with skin allergies and a rash to other medications in the past who on 05-FEB-2007 was vaccinated IM in the right deltoid with a third dose of Gardasil vaccine (yeast) ("lot # 654702/0011U). There was no concomitant medication. The patient tolerated the vaccination well. Two weeks ago on 06-MAR-2007 the patient noticed a lump at the injection site deep in the muscle. The lump was a pea in size and was oblong in shape in t


Changed on 12/8/2009

VAERS ID: 276851 Before After
Age:23.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-05
Onset:2007-03-06
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Allergic skin reaction
Preexisting Conditions: Drug rash
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA04011

Write-up:Information has been received from a registered nurse concerning a 23 year old female with skin allergies and a rash to other medications in the past who on 05-FEB-2007 was vaccinated IM in the right deltoid with a third dose of Gardasil vaccine (yeast) ("lot (lot # 654702/0011U). There was no concomitant medication. The patient tolerated the vaccination well. Two weeks ago on 06-MAR-2007 the patient noticed a lump at the injection site deep in the muscle. The lump was a pea in size and was oblong in shape in t the right deltoid which was the injection site. No redness, pain or fever noted. The patient took therapy with ADVIL as needed. The patient was seen last week, on approximately 13-MAR-2007, and the lump had gotten smaller from the last week. As of 20-MAR-2007 the patient had not fully recovered. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 276851 Before After
Age:23.0
Gender:Female
Location:Unknown Louisiana
Vaccinated:2007-02-05
Onset:2007-03-06
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 2 RA / IM

Administered by: Unknown Public      Purchased by: Unknown Private
Symptoms: Injection site mass

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None LOESTRIN; ZOLOFT
Current Illness: Allergic skin reaction
Preexisting Conditions: Drug rash
Diagnostic Lab Data: Unknown None
CDC 'Split Type': WAES0703USA04011

Write-up:Information has been received from a registered nurse concerning a 23 year old female with skin allergies and a rash to other medications in the past who on 05-FEB-2007 was vaccinated IM in the right deltoid with a third dose of Gardasil vaccine (yeast) (lot # 654702/0011U). There was no concomitant medication. The patient tolerated the vaccination well. Two 3 to 4 weeks ago post vaccination on 06-MAR-2007 the patient noticed a lump at the injection site deep in the muscle. The lump was a pea in size and was oblong in shape in the right deltoid approximately 1 cm, which was the injection site. site deep in the muscle. No redness, pain or fever noted. The patient took therapy with ADVIL as needed. The patient was seen last week, on approximately 13-MAR-2007, and the lump had gotten smaller from the last week. As of 20-MAR-2007 the patient had not fully recovered. Additional The patient took therapy with ADVIL as needed. The patient was seen last week, on approximately 13-Mar-2007, and the lump had gotton smaller from the last week. As of 20-Mar-2007 the patient had not fully recovered.Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/13/2007. The patient had no illness at the time of vaccination. Concomitant therapy included ZOLOFT and LOESTRIN. No additional information is expected.


Changed on 6/14/2014

VAERS ID: 276851 Before After
Age:23.0
Gender:Female
Location:Louisiana
Vaccinated:2007-02-05
Onset:2007-03-06
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 2 RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site mass

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LOESTRIN; ZOLOFT
Current Illness: Allergic skin reaction
Preexisting Conditions: Drug rash
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA04011

Write-up:Information has been received from a registered nurse concerning a 23 year old female with skin allergies and a rash to other medications in the past who on 05-FEB-2007 was vaccinated IM in the right deltoid with a third dose of Gardasil vaccine (yeast) (lot # 654702/0011U). There was no concomitant medication. The patient tolerated the vaccination well. 3 to 4 weeks post vaccination on 06-MAR-2007 the patient noticed a lump at the injection site deep in the muscle. The lump was a pea in size and was oblong in shape in the right deltoid approximately 1 cm, which was the injection site deep in the muscle. No redness, pain or fever noted. The patient took therapy with ADVIL as needed. The patient was seen last week, on approximately 13-MAR-2007, and the lump had gotten smaller from the last week. As of 20-MAR-2007 the patient had not fully recovered. The patient took therapy with ADVIL as needed. The patient was seen last week, on approximately 13-Mar-2007, and the lump had gotton smaller from the last week. As of 20-Mar-2007 the patient had not fully recovered.Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/13/2007. The patient had no illness at the time of vaccination. Concomitant therapy included ZOLOFT and LOESTRIN. No additional information is expected.


Changed on 5/14/2017

VAERS ID: 276851 Before After
Age:23.0
Gender:Female
Location:Louisiana
Vaccinated:2007-02-05
Onset:2007-03-06
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 2 RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site mass

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LOESTRIN; ZOLOFT
Current Illness: Allergic skin reaction
Preexisting Conditions: Drug rash
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA04011

Write-up:Information has been received from a registered nurse concerning a 23 year old female with skin allergies and a rash to other medications in the past who on 05-FEB-2007 was vaccinated IM in the right deltoid with a third dose of Gardasil vaccine (yeast) (lot # 654702/0011U). There was no concomitant medication. The patient tolerated the vaccination well. 3 to 4 weeks post vaccination on 06-MAR-2007 the patient noticed a lump at the injection site deep in the muscle. The lump was a pea in size and was oblong in shape in the right deltoid approximately 1 cm, which was the injection site deep in the muscle. No redness, pain or fever noted. The patient took therapy with ADVIL as needed. The patient was seen last week, on approximately 13-MAR-2007, and the lump had gotten smaller from the last week. As of 20-MAR-2007 the patient had not fully recovered. The patient took therapy with ADVIL as needed. The patient was seen last week, on approximately 13-Mar-2007, and the lump had gotton smaller from the last week. As of 20-Mar-2007 the patient had not fully recovered.Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/13/2007. The patient had no illness at the time of vaccination. Concomitant therapy included ZOLOFT and LOESTRIN. No additional information is expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276851&WAYBACKHISTORY=ON


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