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This is VAERS ID 279054

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279054
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-04-02
Onset:2007-04-02
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner concerning a female who on 02-APR-2007 was vaccinated with a first dose of Gardasil. On 02-APR-2007 the patient experienced soreness at the injection site. Unspecified medical attention was sought. A"t the time of the report, the patient''''s outcome was unknown. Additional information has been requested.


Changed on 12/8/2009

279054 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-04-02
Onset:2007-04-02
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': (blank) WAES0704USA00601

Write-up:Information has been received from a nurse practitioner concerning a female who on 02-APR-2007 was vaccinated with a first dose of Gardasil. On 02-APR-2007 the patient experienced soreness at the injection site. Unspecified medical attention was sought. A"t At the time of the report, the patient''''s patient''s outcome was unknown. Additional information has been requested.


Changed on 9/14/2017

279054 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-04-02
Onset:2007-04-02
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0704USA00601

Write-up:Information has been received from a nurse practitioner concerning a female who on 02-APR-2007 was vaccinated with a first dose of Gardasil. On 02-APR-2007 the patient experienced soreness at the injection site. Unspecified medical attention was sought. At the time of the report, the patient''s outcome was unknown. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279054&WAYBACKHISTORY=ON


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