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This is VAERS ID 279212

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279212
VAERS Form:
Age:26.0
Gender:Female
Location:New York
Vaccinated:2007-04-09
Onset:2007-04-10
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: Unknown
Symptoms: Injection site erythema, Injection site rash, 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 health professional concerning a 26 year old female patient who on 05-FEB-2007 was vaccinated IM with a first dose of Gardasil lot #653736/0014U. On 09-APR-2007 the patient was vaccinated with a second dose of Gardasil". On 10-APR-2007 the patient developed rash at injection site which was /"a little swollen and red, but nothing major./" On 11-APR-2007, she was struck on the injection site and reported that the rash got /"bigger,/" and was /"two-three inches in diameter


Changed on 12/8/2009

279212 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:New York
Vaccinated:2007-04-09
Onset:2007-04-10
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: Unknown Other
Symptoms: Injection site erythema, Injection site rash, 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) WAES0704USA02545

Write-up:Information has been received from a health professional concerning a 26 year old female patient who on 05-FEB-2007 was vaccinated IM with a first dose of Gardasil lot #653736/0014U. On 09-APR-2007 the patient was vaccinated with a second dose of Gardasil". Gardasil. On 10-APR-2007 the patient developed rash at injection site which was /"a "a little swollen and red, but nothing major./" major." On 11-APR-2007, she was struck on the injection site and reported that the rash got /"bigger,/" "bigger," and was /"two-three "two-three inches in diameter diameter." The patient sought unspecified medical attention. The patient''s outcome was unknown at the time of this report. Additional information has been requested.


Changed on 3/2/2010

279212 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:New York
Vaccinated:2007-04-09
Onset:2007-04-10
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0014U / 1 UN / UN IM

Administered by: Other Private      Purchased by: Other
Symptoms: Injection site erythema, Injection site rash, 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 Unknown
Current Illness:
Preexisting Conditions: Unk Unknown
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0704USA02545

Write-up:Information has been received from a health professional concerning a 26 year old female patient who on 05-FEB-2007 was vaccinated IM with a first dose of Gardasil lot #653736/0014U. On 09-APR-2007 the patient was vaccinated with a second dose of Gardasil. On 10-APR-2007 the patient developed rash at injection site which was "a little swollen and red, but nothing major." On 11-APR-2007, she was struck on the injection site and reported that the rash got "bigger," and was "two-three inches in diameter." The patient sought unspecified medical attention. The patient''s outcome was unknown at the time of this report. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information has been received from a health professional concerning a 26 year old female patient who on 05-FEB-2007 was vaccinated IM with a first dose of GARDASIL. On 09-APR-2007 the patient was vaccinated with a second dose of GARDASIL lot #653736/0014U. On 10-APR-2007 the patient developed rash at injection site which was "a little swollen and red, but nothing major". On 11-APR-2007, she was struck on the injection site and reported that the rash got "bigger" and was "two-three inches in diameter". The patient sought unspecified medical attention. The patient''s outcome was unknown at the time of this report. In follow up it was reported that patient had flu at the time of the second injection was given and she was hit on arm the next day which was on 10-APR-2007 (previously reported as on 11-APR-2007). The outcome is unknown. Additional information is not expected.


Changed on 6/14/2014

279212 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:New York
Vaccinated:2007-04-09
Onset:2007-04-10
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Injection site erythema, Injection site rash, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0704USA02545

Write-up:Information has been received from a health professional concerning a 26 year old female patient who on 05-FEB-2007 was vaccinated IM with a first dose of Gardasil lot #653736/0014U. On 09-APR-2007 the patient was vaccinated with a second dose of Gardasil. On 10-APR-2007 the patient developed rash at injection site which was "a little swollen and red, but nothing major." On 11-APR-2007, she was struck on the injection site and reported that the rash got "bigger," and was "two-three inches in diameter." The patient sought unspecified medical attention. The patient''s outcome was unknown at the time of this report. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information has been received from a health professional concerning a 26 year old female patient who on 05-FEB-2007 was vaccinated IM with a first dose of GARDASIL. On 09-APR-2007 the patient was vaccinated with a second dose of GARDASIL lot #653736/0014U. On 10-APR-2007 the patient developed rash at injection site which was "a little swollen and red, but nothing major". On 11-APR-2007, she was struck on the injection site and reported that the rash got "bigger" and was "two-three inches in diameter". The patient sought unspecified medical attention. The patient''s outcome was unknown at the time of this report. In follow up it was reported that patient had flu at the time of the second injection was given and she was hit on arm the next day which was on 10-APR-2007 (previously reported as on 11-APR-2007). The outcome is unknown. Additional information is not expected.


Changed on 5/14/2017

279212 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:New York
Vaccinated:2007-04-09
Onset:2007-04-10
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Injection site erythema, Injection site rash, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0704USA02545

Write-up:Information has been received from a health professional concerning a 26 year old female patient who on 05-FEB-2007 was vaccinated IM with a first dose of Gardasil lot #653736/0014U. On 09-APR-2007 the patient was vaccinated with a second dose of Gardasil. On 10-APR-2007 the patient developed rash at injection site which was "a little swollen and red, but nothing major." On 11-APR-2007, she was struck on the injection site and reported that the rash got "bigger," and was "two-three inches in diameter." The patient sought unspecified medical attention. The patient''s outcome was unknown at the time of this report. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information has been received from a health professional concerning a 26 year old female patient who on 05-FEB-2007 was vaccinated IM with a first dose of GARDASIL. On 09-APR-2007 the patient was vaccinated with a second dose of GARDASIL lot #653736/0014U. On 10-APR-2007 the patient developed rash at injection site which was "a little swollen and red, but nothing major". On 11-APR-2007, she was struck on the injection site and reported that the rash got "bigger" and was "two-three inches in diameter". The patient sought unspecified medical attention. The patient''s outcome was unknown at the time of this report. In follow up it was reported that patient had flu at the time of the second injection was given and she was hit on arm the next day which was on 10-APR-2007 (previously reported as on 11-APR-2007). The outcome is unknown. Additional information is not expected.


Changed on 9/14/2017

279212 Before After
VAERS Form:(blank) 1
Age:26.0
Gender:Female
Location:New York
Vaccinated:2007-04-09
Onset:2007-04-10
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 1 2 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Injection site erythema, Injection site rash, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0704USA02545

Write-up:Information has been received from a health professional concerning a 26 year old female patient who on 05-FEB-2007 was vaccinated IM with a first dose of Gardasil lot #653736/0014U. On 09-APR-2007 the patient was vaccinated with a second dose of Gardasil. On 10-APR-2007 the patient developed rash at injection site which was "a little swollen and red, but nothing major." On 11-APR-2007, she was struck on the injection site and reported that the rash got "bigger," and was "two-three inches in diameter." The patient sought unspecified medical attention. The patient''s outcome was unknown at the time of this report. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information has been received from a health professional concerning a 26 year old female patient who on 05-FEB-2007 was vaccinated IM with a first dose of GARDASIL. On 09-APR-2007 the patient was vaccinated with a second dose of GARDASIL lot #653736/0014U. On 10-APR-2007 the patient developed rash at injection site which was "a little swollen and red, but nothing major". On 11-APR-2007, she was struck on the injection site and reported that the rash got "bigger" and was "two-three inches in diameter". The patient sought unspecified medical attention. The patient''s outcome was unknown at the time of this report. In follow up it was reported that patient had flu at the time of the second injection was given and she was hit on arm the next day which was on 10-APR-2007 (previously reported as on 11-APR-2007). The outcome is unknown. Additional information is not expected.


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