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This is VAERS ID 277921

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277921
VAERS Form:
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-04-29
Onset:2007-04-30
Submitted:2007-05-02
Entered:2007-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 1 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site reaction, Paraesthesia, Rash

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:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:c/o rash over cheeks 2 d after vaccination and tingling sensation of upper extremities and lower extremities at the same side of injection.


Changed on 12/8/2009

277921 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-04-29
Onset:2007-04-30
Submitted:2007-05-02
Entered:2007-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 1 RA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Injection site reaction, Paraesthesia, Rash

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:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:c/o rash over cheeks 2 d after vaccination and tingling sensation of upper extremities and lower extremities at the same side of injection.


Changed on 9/14/2017

277921 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-04-29
Onset:2007-04-30
Submitted:2007-05-02
Entered:2007-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 1 2 RA / IM

Administered by: Private      Purchased by: Public
Symptoms: Injection site reaction, Paraesthesia, Rash

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:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:c/o rash over cheeks 2 d after vaccination and tingling sensation of upper extremities and lower extremities at the same side of injection.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277921&WAYBACKHISTORY=ON


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