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This is VAERS ID 276905

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276905
VAERS Form:
Age:24.0
Gender:Female
Location:Utah
Vaccinated:2007-03-16
Onset:2007-03-19
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: Unknown
Symptoms: Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: None
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type':

Write-up:Information has been received from a certified medical assistant, concerning a 24 year old white female receptionist, who on 16-MAR-2007 was vaccinated at 4:30pm, IM in the right arm, with the first dose of Gardasil. On 19-MAR-2007, at 9:00am, the patient"developed swelling under the injection site. Additional information has been requested.


Changed on 12/8/2009

276905 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Utah
Vaccinated:2007-03-16
Onset:2007-03-19
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: Unknown Other
Symptoms: Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: None
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': (blank) WAES0703USA05005

Write-up:Information has been received from a certified medical assistant, concerning a 24 year old white female receptionist, who on 16-MAR-2007 was vaccinated at 4:30pm, IM in the right arm, with the first dose of Gardasil. On 19-MAR-2007, at 9:00am, the patient"developed patient developed swelling under the injection site. Additional information has been requested.


Changed on 3/2/2010

276905 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Utah
Vaccinated:2007-03-16
Onset:2007-03-19
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No 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: None
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0703USA05005

Write-up:Information has been received from a certified medical assistant, concerning a 24 year old white female receptionist, who on 16-MAR-2007 was vaccinated at 4:30pm, IM in the right arm, with the first dose of Gardasil. On 19-MAR-2007, at 9:00am, the patient developed swelling under the injection site. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow up information has been received from a certified medical assistant, concerning a 24 year old female, who on 16-MAR-2007 was vaccinated at 4:30pm, IM in the right arm, with the first dose of GARDASIL. On 19-MAR-2007, at 9:00am, the patient developed swelling under the injection site. The CMA confirmed that the patient was recovered on 23-MAR-2007. Additional information is not expected.


Changed on 6/14/2014

276905 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Utah
Vaccinated:2007-03-16
Onset:2007-03-19
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site swelling

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: None
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0703USA05005

Write-up:Information has been received from a certified medical assistant, concerning a 24 year old white female receptionist, who on 16-MAR-2007 was vaccinated at 4:30pm, IM in the right arm, with the first dose of Gardasil. On 19-MAR-2007, at 9:00am, the patient developed swelling under the injection site. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow up information has been received from a certified medical assistant, concerning a 24 year old female, who on 16-MAR-2007 was vaccinated at 4:30pm, IM in the right arm, with the first dose of GARDASIL. On 19-MAR-2007, at 9:00am, the patient developed swelling under the injection site. The CMA confirmed that the patient was recovered on 23-MAR-2007. Additional information is not expected.


Changed on 5/14/2017

276905 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Utah
Vaccinated:2007-03-16
Onset:2007-03-19
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site swelling

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: None
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0703USA05005

Write-up:Information has been received from a certified medical assistant, concerning a 24 year old white female receptionist, who on 16-MAR-2007 was vaccinated at 4:30pm, IM in the right arm, with the first dose of Gardasil. On 19-MAR-2007, at 9:00am, the patient developed swelling under the injection site. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow up information has been received from a certified medical assistant, concerning a 24 year old female, who on 16-MAR-2007 was vaccinated at 4:30pm, IM in the right arm, with the first dose of GARDASIL. On 19-MAR-2007, at 9:00am, the patient developed swelling under the injection site. The CMA confirmed that the patient was recovered on 23-MAR-2007. Additional information is not expected.


Changed on 9/14/2017

276905 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Female
Location:Utah
Vaccinated:2007-03-16
Onset:2007-03-19
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site swelling

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: None
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0703USA05005

Write-up:Information has been received from a certified medical assistant, concerning a 24 year old white female receptionist, who on 16-MAR-2007 was vaccinated at 4:30pm, IM in the right arm, with the first dose of Gardasil. On 19-MAR-2007, at 9:00am, the patient developed swelling under the injection site. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow up information has been received from a certified medical assistant, concerning a 24 year old female, who on 16-MAR-2007 was vaccinated at 4:30pm, IM in the right arm, with the first dose of GARDASIL. On 19-MAR-2007, at 9:00am, the patient developed swelling under the injection site. The CMA confirmed that the patient was recovered on 23-MAR-2007. Additional information is not expected.


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