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This is VAERS ID 278009

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278009
VAERS Form:
Age:16.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-02-26
Onset:2007-03-15
Submitted:2007-05-02
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Pain in extremity, Rheumatoid arthritis, Rheumatoid factor

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: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: + Rheumatoid factor
CDC 'Split Type':

Write-up:Two weeks after receiving Gardasil vaccine pt developed leg/arm pain. Blood test showed + R.A. After course of steroids, blood test normalized. Rheumatologist suggested to pt to not get second Gardasil vaccine.


Changed on 12/8/2009

278009 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-02-26
Onset:2007-03-15
Submitted:2007-05-02
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Pain in extremity, Rheumatoid arthritis, Rheumatoid factor

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: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: + Rheumatoid factor
CDC 'Split Type':

Write-up:Two weeks after receiving Gardasil vaccine pt developed leg/arm pain. Blood test showed + R.A. After course of steroids, blood test normalized. Rheumatologist suggested to pt to not get second Gardasil vaccine.


Changed on 9/12/2012

278009 Before After
VAERS Form:
Age:16.0 16
Gender:Female
Location:New Hampshire
Vaccinated:2007-02-26
Onset:2007-03-15
Submitted:2007-05-02
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain in extremity, Rheumatoid arthritis, Rheumatoid factor

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: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: + Rheumatoid factor #NAME?
CDC 'Split Type':

Write-up:Two weeks after receiving Gardasil vaccine pt developed leg/arm pain. Blood test showed + R.A. After course of steroids, blood test normalized. Rheumatologist suggested to pt to not get second Gardasil vaccine.


Changed on 10/14/2012

278009 Before After
VAERS Form:
Age:16 16.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-02-26
Onset:2007-03-15
Submitted:2007-05-02
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain in extremity, Rheumatoid arthritis, Rheumatoid factor

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: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: #NAME? + Rheumatoid factor
CDC 'Split Type':

Write-up:Two weeks after receiving Gardasil vaccine pt developed leg/arm pain. Blood test showed + R.A. After course of steroids, blood test normalized. Rheumatologist suggested to pt to not get second Gardasil vaccine.


Changed on 9/14/2017

278009 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-02-26
Onset:2007-03-15
Submitted:2007-05-02
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain in extremity, Rheumatoid arthritis, Rheumatoid factor

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: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: + Rheumatoid factor
CDC 'Split Type':

Write-up:Two weeks after receiving Gardasil vaccine pt developed leg/arm pain. Blood test showed + R.A. After course of steroids, blood test normalized. Rheumatologist suggested to pt to not get second Gardasil vaccine.


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