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This is VAERS ID 277776

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277776
VAERS Form:
Age:17.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-24
Onset:2007-04-29
Submitted:2007-05-02
Entered:2007-05-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. UNKNOWN / 0 RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Chest pain, Chest X-ray normal, Electrocardiogram normal, Injection site pain

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: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Negative chest Xray and normal EKG.
CDC 'Split Type':

Write-up:Chest pain for 4 days which started 5 days after gardasil administration. Also has injection site pain.


Changed on 9/14/2017

277776 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-24
Onset:2007-04-29
Submitted:2007-05-02
Entered:2007-05-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. UNKNOWN / 0 1 RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Chest pain, Chest X-ray normal, Electrocardiogram normal, Injection site pain

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: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Negative chest Xray and normal EKG.
CDC 'Split Type':

Write-up:Chest pain for 4 days which started 5 days after gardasil administration. Also has injection site pain.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277776&WAYBACKHISTORY=ON


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