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This is VAERS ID 278653

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278653
VAERS Form:
Age:12.0
Gender:Female
Location:Illinois
Vaccinated:2007-04-23
Onset:2007-05-13
Submitted:2007-05-15
Entered:2007-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Erythema, Oedema peripheral, Pain, Skin warm

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:5/15/2007 Mother reports that Shantel''''s arm is red, swollen and warm to touch. Denies any fever. States school nurse put cool compress on it 5/14/2007 and Shantel complained that it hurt worse.Instr to try a warm compress and take tylnol or motrin for th"e pain and swelling. Also instr to f/u with MD. Question if it may have been a bite of some sort. Mother unsure.


Changed on 12/8/2009

278653 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Illinois
Vaccinated:2007-04-23
Onset:2007-05-13
Submitted:2007-05-15
Entered:2007-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Erythema, Oedema peripheral, Pain, Skin warm

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:5/15/2007 Mother reports that Shantel''''s Shantel''s arm is red, swollen and warm to touch. Denies any fever. States school nurse put cool compress on it 5/14/2007 and Shantel complained that it hurt worse.Instr to try a warm compress and take tylnol or motrin for th"e the pain and swelling. Also instr to f/u with MD. Question if it may have been a bite of some sort. Mother unsure.


Changed on 9/14/2017

278653 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Illinois
Vaccinated:2007-04-23
Onset:2007-05-13
Submitted:2007-05-15
Entered:2007-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 2 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Erythema, Oedema peripheral, Pain, Skin warm

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:5/15/2007 Mother reports that Shantel''s arm is red, swollen and warm to touch. Denies any fever. States school nurse put cool compress on it 5/14/2007 and Shantel complained that it hurt worse.Instr to try a warm compress and take tylnol or motrin for the pain and swelling. Also instr to f/u with MD. Question if it may have been a bite of some sort. Mother unsure.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278653&WAYBACKHISTORY=ON


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