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This is VAERS ID 279198

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279198
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-03-14
Onset:2007-03-14
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site pain, Pain in extremity, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MIRCETTE ONE A DAY ESSENTIAL VITAMINS
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a health professional concerning a female who on 14-MAR-2007 was vaccinated with the first dose of Gardasil, IM in the right deltoid (lot# 655503/0012U). Concomitant therapy included Mircette and vitamins (unspecified) ("One-A-Day Essential Vitamins). Subsequently, immediately following the vaccination the patient experienced pain in the injection site arm. The patient recovered from the pain in /"a day or two/" but it returned on approximately 18-MAR-2007. This pain was


Changed on 12/8/2009

VAERS ID: 279198 Before After
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-03-14
Onset:2007-03-14
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site pain, Pain in extremity, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MIRCETTE ONE A DAY ESSENTIAL VITAMINS
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0704USA02249

Write-up:Information has been received from a health professional concerning a female who on 14-MAR-2007 was vaccinated with the first dose of Gardasil, IM in the right deltoid (lot# 655503/0012U). Concomitant therapy included Mircette and vitamins (unspecified) ("One-A-Day (One-A-Day Essential Vitamins). Subsequently, immediately following the vaccination the patient experienced pain in the injection site arm. The patient recovered from the pain in /"a "a day or two/" two" but it returned on approximately 18-MAR-2007. This pain was described as a shooting pain in the injection site arm "down to the elbow" that occurred when the arm was moved. There was no pain on touch. It was reported that the pain was worst at the end of the day and immediately upon arising. The patient was treated with Advil which was reported to have helped the pain. The patient was examined at her physician''s office on 26-MAR-2007 and was prescribed Tylenol with codeine. Subsequently, the patient called into the office on 09-APR-2007 and reported that the pain in the arm was still present and had worsened. The patient was referred to her primary care physician for further evaluation. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279198&WAYBACKHISTORY=ON


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