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This is VAERS ID 276894

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276894
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner and two registered nurses, concerning a female patient in her late teens, who was vaccinated (date not specified) with the second dose of Gardasil. Subsequently the patient experienced induration and"erythema, associated with the second dose. The reporters indicated they believed the induration and erythema lasted /"a couple of days./" Additional information has been requested.


Changed on 12/8/2009

276894 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Erythema, Induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': (blank) WAES0703USA04785

Write-up:Information has been received from a nurse practitioner and two registered nurses, concerning a female patient in her late teens, who was vaccinated (date not specified) with the second dose of Gardasil. Subsequently the patient experienced induration and"erythema, and erythema, associated with the second dose. The reporters indicated they believed the induration and erythema lasted /"a "a couple of days./" days." Additional information has been requested.


Changed on 3/2/2010

276894 Before After
VAERS Form:
Age:(blank) 23.0
Gender:Female
Location:Unknown Washington
Vaccinated:0000-00-00 2007-03-15
Onset:0000-00-00 2007-03-15
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 0 UN / UN IM

Administered by: Other      Purchased by: Other
Symptoms: Erythema, Induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0703USA04785

Write-up:Information has been received from a nurse practitioner and two registered nurses, concerning a female patient in her late teens, who was vaccinated (date not specified) with the second dose of Gardasil. Subsequently the patient experienced induration and erythema, associated with the second dose. The reporters indicated they believed the induration and erythema lasted "a couple of days." Additional information has been requested.


Changed on 6/14/2014

276894 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Washington
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Erythema, Induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0703USA04785

Write-up:Information has been received from a nurse practitioner and two registered nurses, concerning a female patient in her late teens, who was vaccinated (date not specified) with the second dose of Gardasil. Subsequently the patient experienced induration and erythema, associated with the second dose. The reporters indicated they believed the induration and erythema lasted "a couple of days." Additional information has been requested.


Changed on 5/14/2017

276894 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Washington
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Erythema, Induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0703USA04785

Write-up:Information has been received from a nurse practitioner and two registered nurses, concerning a female patient in her late teens, who was vaccinated (date not specified) with the second dose of Gardasil. Subsequently the patient experienced induration and erythema, associated with the second dose. The reporters indicated they believed the induration and erythema lasted "a couple of days." Additional information has been requested.


Changed on 9/14/2017

276894 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:Washington
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Erythema, Induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0703USA04785

Write-up:Information has been received from a nurse practitioner and two registered nurses, concerning a female patient in her late teens, who was vaccinated (date not specified) with the second dose of Gardasil. Subsequently the patient experienced induration and erythema, associated with the second dose. The reporters indicated they believed the induration and erythema lasted "a couple of days." Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276894&WAYBACKHISTORY=ON


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