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This is VAERS ID 276865

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276865
Age:20.0
Gender:Female
Location:New York
Vaccinated:2007-02-16
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / - - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a Registered Nurse (R.N.) concerning a 20 year old female patient who on 16-FEB-2007 was vaccinated IM in the deltoid muscle with a dose of Gardasil vaccine (yeast), lot # 655617/1447F. The patient recently noted a small"lump in her deltoid muscle at the injection site, also described as a bump in her arm at injection site. Unspecified medical attention was sought. The patient was recovering as of the report day. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 276865 Before After
Age:20.0
Gender:Female
Location:New York
Vaccinated:2007-02-16
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / - - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA04175

Write-up:Information has been received from a Registered Nurse (R.N.) concerning a 20 year old female patient who on 16-FEB-2007 was vaccinated IM in the deltoid muscle with a dose of Gardasil vaccine (yeast), lot # 655617/1447F. The patient recently noted a small"lump small lump in her deltoid muscle at the injection site, also described as a bump in her arm at injection site. Unspecified medical attention was sought. The patient was recovering as of the report day. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276865&WAYBACKHISTORY=ON


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