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This is VAERS ID 277273

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 277273
Age:15.0
Gender:Female
Location:Texas
Vaccinated:2007-04-10
Onset:2007-04-13
Submitted:2007-04-19
Entered:2007-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 1 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Burning sensation, Haematoma, Skin reaction, Injection site swelling

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

Write-up:Skin reaction w/cresent shaped burn like reaction one week after 2nd dose of Gardasil. Swollen below injection site, probable hematoma.


Changed on 12/8/2009

VAERS ID: 277273 Before After
Age:15.0
Gender:Female
Location:Texas
Vaccinated:2007-04-10
Onset:2007-04-13
Submitted:2007-04-19
Entered:2007-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 1 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Burning sensation, Haematoma, Skin reaction, Injection site swelling

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

Write-up:Skin reaction w/cresent shaped burn like reaction one week after 2nd dose of Gardasil. Swollen below injection site, probable hematoma.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277273&WAYBACKHISTORY=ON


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