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This is VAERS ID 279204

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279204
Age:25.0
Gender:Female
Location:New Jersey
Vaccinated:2007-03-30
Onset:2007-03-30
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / PO

Administered by: Other      Purchased by: Unknown
Symptoms: Pain, Paraesthesia, Vaccination complication, Incorrect route of drug administration

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

Write-up:Information has been received from a consumer, a 25 year old female patient with high blood pressure, who on 30-MAR-2007 was vaccinated orally with the first dose, 0.5ml, of Gardasil. There was no concomitant medication. On 31-MAR-2007 the patient reporte"d that she had experienced tingling in her hands and feet after the vaccine was administered. At the time of this report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested. 6/25/07


Changed on 12/8/2009

VAERS ID: 279204 Before After
Age:25.0
Gender:Female
Location:New Jersey
Vaccinated:2007-03-30
Onset:2007-03-30
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / PO

Administered by: Other      Purchased by: Unknown Other
Symptoms: Pain, Paraesthesia, Vaccination complication, Incorrect route of drug administration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Blood pressure high
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0704USA0261

Write-up:Information has been received from a consumer, a 25 year old female patient with high blood pressure, who on 30-MAR-2007 was vaccinated orally with the first dose, 0.5ml, of Gardasil. There was no concomitant medication. On 31-MAR-2007 the patient reporte"d reported that she had experienced tingling in her hands and feet after the vaccine was administered. At the time of this report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested. 6/25/07 Received office note from reporter which reveals patient called office on 4/16 to report having been seen in ER for complaints of body aches. Tx w/anti inflammatory meds & felling well now. Refused further HPV vaccine. FINAL DX: Adverse reaction to HPV vaccine.


Changed on 5/14/2017

VAERS ID: 279204 Before After
Age:25.0
Gender:Female
Location:New Jersey
Vaccinated:2007-03-30
Onset:2007-03-30
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / PO

Administered by: Other      Purchased by: Other
Symptoms: Pain, Paraesthesia, Vaccination complication, Incorrect route of drug administration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Blood pressure high
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA0261

Write-up:Information has been received from a consumer, a 25 year old female patient with high blood pressure, who on 30-MAR-2007 was vaccinated orally with the first dose, 0.5ml, of Gardasil. There was no concomitant medication. On 31-MAR-2007 the patient reported that she had experienced tingling in her hands and feet after the vaccine was administered. At the time of this report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested. 6/25/07 Received office note from reporter which reveals patient called office on 4/16 to report having been seen in ER for complaints of body aches. Tx w/anti inflammatory meds & felling well now. Refused further HPV vaccine. FINAL DX: Adverse reaction to HPV vaccine.


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