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This is VAERS ID 279182

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279182
VAERS Form:
Age:
Gender:Female
Location:Florida
Vaccinated:2006-09-01
Onset:2006-09-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Drug administered at inappropriate site, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning her daughter, who in September 2006, was vaccinated in the buttocks with the first dose of Gardasil, in November 2006, with the second dose of Gardasil, and in March 2007 with the third dose of Gar"dasil, in the arm. The physician reported that in March 2007, following the third vaccination, her daughter experienced slight pain in her arm at the injection site. At the time of this report, it was unknown if the patient had recovered from the injectio


Changed on 12/8/2009

279182 Before After
VAERS Form:
Age:
Gender:Female
Location:Florida
Vaccinated:2006-09-01
Onset:2006-09-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Drug administered at inappropriate site, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA01537

Write-up:Information has been received from a physician concerning her daughter, who in September 2006, was vaccinated in the buttocks with the first dose of Gardasil, in November 2006, with the second dose of Gardasil, and in March 2007 with the third dose of Gar"dasil, Gardasil, in the arm. The physician reported that in March 2007, following the third vaccination, her daughter experienced slight pain in her arm at the injection site. At the time of this report, it was unknown if the patient had recovered from the injectio injection site pain. Additional information has been requested.


Changed on 9/14/2017

279182 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Florida
Vaccinated:2006-09-01
Onset:2006-09-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Drug administered at inappropriate site, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA01537

Write-up:Information has been received from a physician concerning her daughter, who in September 2006, was vaccinated in the buttocks with the first dose of Gardasil, in November 2006, with the second dose of Gardasil, and in March 2007 with the third dose of Gardasil, in the arm. The physician reported that in March 2007, following the third vaccination, her daughter experienced slight pain in her arm at the injection site. At the time of this report, it was unknown if the patient had recovered from the injection site pain. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279182&WAYBACKHISTORY=ON


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