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This is VAERS ID 279039

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279039
Age:22.0
Gender:Female
Location:Nebraska
Vaccinated:2007-03-14
Onset:2007-03-17
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Pain, Pain in extremity, Sleep disorder

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician, via a company representative, concerning a 22 year old female patient, who on 14-MAR-2007 was vaccinated with the first dose, 0.5ml, IM, of Gardasil. On 17-MAR-2007 the patient experienced /"pain in lower ri"ght leg (down from the knee), aching/" and reported a problem with sleeping. At the time of this report, the leg pain, aching and problem with sleeping had not resolved. The patient sought unspecified medical attention. Additional information has been req


Changed on 12/8/2009

VAERS ID: 279039 Before After
Age:22.0
Gender:Female
Location:Nebraska
Vaccinated:2007-03-14
Onset:2007-03-17
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Pain, Pain in extremity, Sleep disorder

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA00334

Write-up:Information has been received from a physician, via a company representative, concerning a 22 year old female patient, who on 14-MAR-2007 was vaccinated with the first dose, 0.5ml, IM, of Gardasil. On 17-MAR-2007 the patient experienced /"pain "pain in lower ri"ght right leg (down from the knee), aching/" aching" and reported a problem with sleeping. At the time of this report, the leg pain, aching and problem with sleeping had not resolved. The patient sought unspecified medical attention. Additional information has been req requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279039&WAYBACKHISTORY=ON


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