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This is VAERS ID 279048

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279048
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-24
Onset:2007-01-24
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / - UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Arthralgia, Musculoskeletal stiffness

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

Write-up:Information has been received from a health professional concerning a 12 year old white female patient who on 24-JAN-2007 was vaccinated IM with a first dose 0.5 mL of Gardasil lot #655619/1427F. Concomitant therapy included hepatitis A virus vaccine (uns"pecified) also administered IM on 24-JAN-2007. In approximately 27-JAN-2007, the patient developed joint pain and stiffness after receiving the vaccination. Subsequently, the patient recovered from joint pain and stiffness after few weeks. Additional info


Changed on 12/8/2009

VAERS ID: 279048 Before After
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-24
Onset:2007-01-24
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / - UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Arthralgia, Musculoskeletal stiffness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: Unk
CDC 'Split Type': (blank) WAES0704USA00527

Write-up:Information has been received from a health professional concerning a 12 year old white female patient who on 24-JAN-2007 was vaccinated IM with a first dose 0.5 mL of Gardasil lot #655619/1427F. Concomitant therapy included hepatitis A virus vaccine (uns"pecified) (unspecified) also administered IM on 24-JAN-2007. In approximately 27-JAN-2007, the patient developed joint pain and stiffness after receiving the vaccination. Subsequently, the patient recovered from joint pain and stiffness after few weeks. Additional info information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279048&WAYBACKHISTORY=ON


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