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This is VAERS ID 279231

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279231
Age:15.0
Gender:Female
Location:Texas
Vaccinated:2007-04-09
Onset:2007-04-09
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site haematoma, Injection site reaction

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

Write-up:Information has been received from a physician concerning a 15 year old female who on approximately 09-APR-2007 was vaccinated with Gardasil. In April 2007, the patient experienced a crescent shaped burn-like area, over a small hematoma about 1 centimeter"in diameter at the injection site. No pain was noted. It was reported that the patient sought unspecified medical attention. It was also reported that the patient is recovering at this time. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 279231 Before After
Age:15.0
Gender:Female
Location:Texas
Vaccinated:2007-04-09
Onset:2007-04-09
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Injection site haematoma, Injection site reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA03191

Write-up:Information has been received from a physician concerning a 15 year old female who on approximately 09-APR-2007 was vaccinated with Gardasil. In April 2007, the patient experienced a crescent shaped burn-like area, over a small hematoma about 1 centimeter"in centimeter in diameter at the injection site. No pain was noted. It was reported that the patient sought unspecified medical attention. It was also reported that the patient is recovering at this time. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279231&WAYBACKHISTORY=ON


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