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This is VAERS ID 279237

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279237
Age:25.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-12
Onset:2007-04-13
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Axillary mass

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

Write-up:Information has been received from a physician''''s assistant (PA), concerning a 25 year old female patient with asthma and acne, who on 12-APR-2007 was vaccinated IM in the left deltoid, with the first dose, 0.5ml, of Gardasil (Lot #657621/0387U). Concomit"ant therapy included Nuvaring, Accutane and albuterol. On 13-APR-2007 the patient developed a lump in her left axilla, though the PA there was no swelling or redness present. Treatment consisted of warm soaks and Motrin. At the time of this report, the pa


Changed on 12/8/2009

VAERS ID: 279237 Before After
Age:25.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-12
Onset:2007-04-13
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Axillary mass

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol NUVARING ACCUTANE
Current Illness: Asthma Acne
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA03493

Write-up:Information has been received from a physician''''s physician''s assistant (PA), concerning a 25 year old female patient with asthma and acne, who on 12-APR-2007 was vaccinated IM in the left deltoid, with the first dose, 0.5ml, of Gardasil (Lot #657621/0387U). Concomit"ant Concomitant therapy included Nuvaring, Accutane and albuterol. On 13-APR-2007 the patient developed a lump in her left axilla, though the PA there was no swelling or redness present. Treatment consisted of warm soaks and Motrin. At the time of this report, the pa patient had not recovered. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 279237 Before After
Age:25.0
Gender:Female
Location:Unknown Rhode Island
Vaccinated:2007-04-12
Onset:2007-04-13
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Axillary mass

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol NUVARING ACCUTANE
Current Illness: Asthma Acne
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA03493

Write-up:Information has been received from a physician''s assistant (PA), concerning a 25 year old female patient with asthma and acne, who on 12-APR-2007 was vaccinated IM in the left deltoid, with the first dose, 0.5ml, of Gardasil (Lot #657621/0387U). Concomitant therapy included Nuvaring, Accutane and albuterol. On 13-APR-2007 the patient developed a lump in her left axilla, though the PA there was no swelling or redness present. Treatment consisted of warm soaks and Motrin. At the time of this report, the patient had not recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007. Though an office visit was not required. The PA informed the patient that if the condition persisted for more than 2 weeks, a fefferal to a surgion would be ordered. At the time of this report (08-May-2007), the patient had not recovered. Additional information has been requested.


Changed on 4/7/2010

VAERS ID: 279237 Before After
Age:25.0
Gender:Female
Location:Rhode Island
Vaccinated:2007-04-12
Onset:2007-04-13
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Axillary mass

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol NUVARING ACCUTANE
Current Illness: Asthma Acne
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA03493

Write-up:Information has been received from a physician''s assistant (PA), concerning a 25 year old female patient with asthma and acne, who on 12-APR-2007 was vaccinated IM in the left deltoid, with the first dose, 0.5ml, of Gardasil (Lot #657621/0387U). Concomitant therapy included Nuvaring, Accutane and albuterol. On 13-APR-2007 the patient developed a lump in her left axilla, though the PA there was no swelling or redness present. Treatment consisted of warm soaks and Motrin. At the time of this report, the patient had not recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007. Though an office visit was not required. The PA informed the patient that if the condition persisted for more than 2 weeks, a fefferal to a surgion would be ordered. At the time of this report (08-May-2007), the patient had not recovered. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 279237 Before After
Age:25.0
Gender:Female
Location:Rhode Island
Vaccinated:2007-04-12
Onset:2007-04-13
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Axillary mass

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol NUVARING ACCUTANE
Current Illness: Asthma Acne
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA03493

Write-up:Information has been received from a physician''s assistant (PA), concerning a 25 year old female patient with asthma and acne, who on 12-APR-2007 was vaccinated IM in the left deltoid, with the first dose, 0.5ml, of Gardasil (Lot #657621/0387U). Concomitant therapy included Nuvaring, Accutane and albuterol. On 13-APR-2007 the patient developed a lump in her left axilla, though the PA there was no swelling or redness present. Treatment consisted of warm soaks and Motrin. At the time of this report, the patient had not recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007. Though an office visit was not required. The PA informed the patient that if the condition persisted for more than 2 weeks, a fefferal to a surgion would be ordered. At the time of this report (08-May-2007), the patient had not recovered. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 279237 Before After
Age:25.0
Gender:Female
Location:Rhode Island
Vaccinated:2007-04-12
Onset:2007-04-13
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Axillary mass

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol NUVARING ACCUTANE
Current Illness: Asthma Acne
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA03493

Write-up:Information has been received from a physician''s assistant (PA), concerning a 25 year old female patient with asthma and acne, who on 12-APR-2007 was vaccinated IM in the left deltoid, with the first dose, 0.5ml, of Gardasil (Lot #657621/0387U). Concomitant therapy included Nuvaring, Accutane and albuterol. On 13-APR-2007 the patient developed a lump in her left axilla, though the PA there was no swelling or redness present. Treatment consisted of warm soaks and Motrin. At the time of this report, the patient had not recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007. Though an office visit was not required. The PA informed the patient that if the condition persisted for more than 2 weeks, a fefferal to a surgion would be ordered. At the time of this report (08-May-2007), the patient had not recovered. Additional information has been requested.


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