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This is VAERS ID 277139

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277139
VAERS Form:
Age:23.0
Gender:Female
Location:Ohio
Vaccinated:2007-04-11
Onset:2007-04-12
Submitted:2007-04-16
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Cellulitis, Oedema peripheral, Pain in extremity

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

Write-up:Pt stated had reaction to 1s injection determined not related to Gardasil . C/O cellulitis to L finger/hand inj given in L delt. 2nd injection to R delt, pt c/o same reaction - swelling, pain to L finger/hand again - saw PCP tx for cellulitis. Atzo given.


Changed on 8/31/2010

277139 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Ohio
Vaccinated:2007-04-11
Onset:2007-04-12
Submitted:2007-04-16
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Cellulitis, Oedema peripheral, Pain in extremity

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

Write-up:Pt stated had reaction to 1s injection determined not related to Gardasil . C/O cellulitis to L finger/hand inj given in L delt. 2nd injection to R delt, pt c/o same reaction - swelling, pain to L finger/hand again - saw PCP tx for cellulitis. Atzo given.


Changed on 4/13/2011

277139 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Ohio
Vaccinated:2007-04-11
Onset:2007-04-12
Submitted:2007-04-16
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Cellulitis, Oedema peripheral, Pain in extremity

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

Write-up:Pt stated had reaction to 1s injection determined not related to Gardasil . C/O cellulitis to L finger/hand inj given in L delt. 2nd injection to R delt, pt c/o same reaction - swelling, pain to L finger/hand again - saw PCP tx for cellulitis. Atzo given.


Changed on 5/13/2011

277139 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Ohio
Vaccinated:2007-04-11
Onset:2007-04-12
Submitted:2007-04-16
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Cellulitis, Oedema peripheral, Pain in extremity

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

Write-up:Pt stated had reaction to 1s injection determined not related to Gardasil . C/O cellulitis to L finger/hand inj given in L delt. 2nd injection to R delt, pt c/o same reaction - swelling, pain to L finger/hand again - saw PCP tx for cellulitis. Atzo given.


Changed on 6/11/2011

277139 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Ohio
Vaccinated:2007-04-11
Onset:2007-04-12
Submitted:2007-04-16
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Cellulitis, Oedema peripheral, Pain in extremity

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

Write-up:Pt stated had reaction to 1s injection determined not related to Gardasil . C/O cellulitis to L finger/hand inj given in L delt. 2nd injection to R delt, pt c/o same reaction - swelling, pain to L finger/hand again - saw PCP tx for cellulitis. Atzo given.


Changed on 9/14/2017

277139 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:Ohio
Vaccinated:2007-04-11
Onset:2007-04-12
Submitted:2007-04-16
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 2 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Cellulitis, Oedema peripheral, Pain in extremity

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

Write-up:Pt stated had reaction to 1s injection determined not related to Gardasil . C/O cellulitis to L finger/hand inj given in L delt. 2nd injection to R delt, pt c/o same reaction - swelling, pain to L finger/hand again - saw PCP tx for cellulitis. Atzo given.


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