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This is VAERS ID 279061

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279061
VAERS Form:
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-01
Onset:2007-04-01
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 induration, Metrorrhagia, Injection site swelling

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 concerning a 22 year old female patient who in April 2007, was vaccinated with a first dose of Gardasil. The patient developed a knot and swelling at the injection site, after the vaccination. The next day the pa"tient developed spotty vaginal bleeding. Unspecified medical attention was sought. The patient''''s outcome was unknown. Follow-up from the patient''''s physician stated that the patient did not feel that the vaginal bleeding was related to vaccination with G


Changed on 12/8/2009

VAERS ID: 279061 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-01
Onset:2007-04-01
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 induration, Metrorrhagia, Injection site swelling

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) WAES0704USA00748

Write-up: Information has been received from a nurse concerning a 22 year old female patient who in April 2007, was vaccinated with a first dose of Gardasil. The patient developed a knot and swelling at the injection site, after the vaccination. The next day the pa"tient patient developed spotty vaginal bleeding. Unspecified medical attention was sought. The patient''''s patient''s outcome was unknown. Follow-up from the patient''''s patient''s physician stated that the patient did not feel that the vaginal bleeding was related to vaccination with G Gardasil. No further details are available.


Changed on 9/14/2017

VAERS ID: 279061 Before After
VAERS Form:(blank) 1
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-01
Onset:2007-04-01
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 induration, Metrorrhagia, Injection site swelling

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': WAES0704USA00748

Write-up: Information has been received from a nurse concerning a 22 year old female patient who in April 2007, was vaccinated with a first dose of Gardasil. The patient developed a knot and swelling at the injection site, after the vaccination. The next day the patient developed spotty vaginal bleeding. Unspecified medical attention was sought. The patient''s outcome was unknown. Follow-up from the patient''s physician stated that the patient did not feel that the vaginal bleeding was related to vaccination with Gardasil. No further details are available.


Changed on 2/14/2018

VAERS ID: 279061 Before After
VAERS Form:1
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-01
Onset:2007-04-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site induration, Metrorrhagia, Injection site swelling

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': WAES0704USA00748

Write-up: Information has been received from a nurse concerning a 22 year old female patient who in April 2007, was vaccinated with a first dose of Gardasil. The patient developed a knot and swelling at the injection site, after the vaccination. The next day the patient developed spotty vaginal bleeding. Unspecified medical attention was sought. The patient''s outcome was unknown. Follow-up from the patient''s physician stated that the patient did not feel that the vaginal bleeding was related to vaccination with Gardasil. No further details are available.


Changed on 6/14/2018

VAERS ID: 279061 Before After
VAERS Form:1
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-01
Onset:2007-04-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site induration, Metrorrhagia, Injection site swelling

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': WAES0704USA00748

Write-up: Information has been received from a nurse concerning a 22 year old female patient who in April 2007, was vaccinated with a first dose of Gardasil. The patient developed a knot and swelling at the injection site, after the vaccination. The next day the patient developed spotty vaginal bleeding. Unspecified medical attention was sought. The patient''s outcome was unknown. Follow-up from the patient''s physician stated that the patient did not feel that the vaginal bleeding was related to vaccination with Gardasil. No further details are available.

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