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This is VAERS ID 279216

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279216
VAERS Form:
Age:26.0
Gender:Female
Location:Ohio
Vaccinated:2007-02-12
Onset:2007-02-12
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 1 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site irritation, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: [therapy unspecified] LEXAPRO
Current Illness:
Preexisting Conditions: Sulfonamide allergy; Penicillin allergy
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type':

Write-up:Information has been received from a Registered Nurse (R.N.) concerning a 26 year old female with sulfonamide allergy and penicillin allergy who on 12-FEB-2007 was vaccinated IM with a first dose of Gardasil, lot #654702/0011U and in APR, 2007 received th"e second dose of Gardasil. Concomitant therapy included escitalopram oxalate (LEXAPRO) and TRI-NASAL (therapy unspecified). The patient reported a painful burning feeling at the injection site after both dose one and dose two. The patient also reported th


Changed on 12/8/2009

279216 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Ohio
Vaccinated:2007-02-12
Onset:2007-02-12
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 1 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site irritation, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: [therapy unspecified] LEXAPRO
Current Illness:
Preexisting Conditions: Sulfonamide allergy; Penicillin allergy
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': (blank) WAES0704USA02663

Write-up:Information has been received from a Registered Nurse (R.N.) concerning a 26 year old female with sulfonamide allergy and penicillin allergy who on 12-FEB-2007 was vaccinated IM with a first dose of Gardasil, lot #654702/0011U and in APR, 2007 received th"e the second dose of Gardasil. Concomitant therapy included escitalopram oxalate (LEXAPRO) and TRI-NASAL (therapy unspecified). The patient reported a painful burning feeling at the injection site after both dose one and dose two. The patient also reported th that the injection site was sore for about two weeks after the first injection. Patient sought unspecified medical attention. The patient was reported as recovering at the time of this report. Additional information has been requested.


Changed on 9/14/2017

279216 Before After
VAERS Form:(blank) 1
Age:26.0
Gender:Female
Location:Ohio
Vaccinated:2007-02-12
Onset:2007-02-12
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 1 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site irritation, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: [therapy unspecified] LEXAPRO
Current Illness:
Preexisting Conditions: Sulfonamide allergy; Penicillin allergy
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0704USA02663

Write-up:Information has been received from a Registered Nurse (R.N.) concerning a 26 year old female with sulfonamide allergy and penicillin allergy who on 12-FEB-2007 was vaccinated IM with a first dose of Gardasil, lot #654702/0011U and in APR, 2007 received the second dose of Gardasil. Concomitant therapy included escitalopram oxalate (LEXAPRO) and TRI-NASAL (therapy unspecified). The patient reported a painful burning feeling at the injection site after both dose one and dose two. The patient also reported that the injection site was sore for about two weeks after the first injection. Patient sought unspecified medical attention. The patient was reported as recovering at the time of this report. Additional information has been requested.


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