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This is VAERS ID 279057

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279057
Age:15.0
Gender:Female
Location:California
Vaccinated:2007-03-20
Onset:2007-03-20
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 15 year old female who on approximately 20-MAR-2007, /"a couple weeks ago/", was vaccinated with a first dose of Gardasil. Subsequently the patient developed swelling. The patient sought unspecif"ied medical attention. At the time of this report, the patient''''s outcome was unknown. No product quality complaint was involved. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 279057 Before After
Age:15.0
Gender:Female
Location:California
Vaccinated:2007-03-20
Onset:2007-03-20
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: none
CDC 'Split Type': (blank) WAES0704USA00665

Write-up:Information has been received from a physician concerning a 15 year old female who on approximately 20-MAR-2007, /"a "a couple weeks ago/", ago", was vaccinated with a first dose of Gardasil. Subsequently the patient developed swelling. The patient sought unspecif"ied unspecified medical attention. At the time of this report, the patient''''s patient''s outcome was unknown. No product quality complaint was involved. Additional information has been requested.


Changed on 4/7/2010

VAERS ID: 279057 Before After
Age:15.0
Gender:Female
Location:California
Vaccinated:2007-03-20
Onset:2007-03-20
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: none
CDC 'Split Type': WAES0704USA00665

Write-up:Information has been received from a physician concerning a 15 year old female who on approximately 20-MAR-2007, "a couple weeks ago", was vaccinated with a first dose of Gardasil. Subsequently the patient developed swelling. The patient sought unspecified medical attention. At the time of this report, the patient''s outcome was unknown. No product quality complaint was involved. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279057&WAYBACKHISTORY=ON


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