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This is VAERS ID 279239

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279239
VAERS Form:
Age:19.0
Gender:Female
Location:Florida
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Arthralgia

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: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 19 year old female patient who was vaccinated with a dose of Gardasil. The patient experienced joint pain after getting the injection. Unspecified medical attention was sought. Patient''''s outcome"was unknown. Additional information has been requested.


Changed on 12/8/2009

279239 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Florida
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Arthralgia

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: Unknown
CDC 'Split Type': (blank) WAES0704USA03537

Write-up:Information has been received from a physician concerning a 19 year old female patient who was vaccinated with a dose of Gardasil. The patient experienced joint pain after getting the injection. Unspecified medical attention was sought. Patient''''s outcome"was Patient''s outcome was unknown. Additional information has been requested.


Changed on 3/2/2010

279239 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Florida
Vaccinated:0000-00-00
Onset:0000-00-00
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: Other
Symptoms: Arthralgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Yes
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 None
Current Illness:
Preexisting Conditions: Unknown None
Allergies:
Diagnostic Lab Data: Unknown Serum ANA, positive; erythrocyte, increased
CDC 'Split Type': WAES0704USA03537

Write-up:Information has been received from a physician concerning a 19 year old female patient who was vaccinated with a dose of Gardasil. The patient experienced joint pain after getting the injection. Unspecified medical attention was sought. Patient''s outcome was unknown. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information by telephone has been received from a physician concerning a 19 year old female patient who was vaccinated with a first and second dose of GARDASIL. The patient experienced joint pain after getting her second injection. Follow up information from the physician indicated that the patient had a positive ANA and an increased sed rate and he was trying to rule out the possibility of lupus. The physician requested additional information about GARDASIL and lupus and whether or not the patient should receive her third injection. On 30-APR-2007 the patient recovered. Additional information has been requested.


Changed on 4/7/2010

279239 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Florida
Vaccinated:0000-00-00
Onset:0000-00-00
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: Other
Symptoms: Arthralgia, Red blood cell sedimentation rate increased, Antinuclear antibody positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Serum ANA, positive; erythrocyte, increased
CDC 'Split Type': WAES0704USA03537

Write-up:Information has been received from a physician concerning a 19 year old female patient who was vaccinated with a dose of Gardasil. The patient experienced joint pain after getting the injection. Unspecified medical attention was sought. Patient''s outcome was unknown. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information by telephone has been received from a physician concerning a 19 year old female patient who was vaccinated with a first and second dose of GARDASIL. The patient experienced joint pain after getting her second injection. Follow up information from the physician indicated that the patient had a positive ANA and an increased sed rate and he was trying to rule out the possibility of lupus. The physician requested additional information about GARDASIL and lupus and whether or not the patient should receive her third injection. On 30-APR-2007 the patient recovered. Additional information has been requested.


Changed on 6/14/2014

279239 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Florida
Vaccinated:0000-00-00
Onset:0000-00-00
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: Other
Symptoms: Arthralgia, Red blood cell sedimentation rate increased, Antinuclear antibody positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Serum ANA, positive; erythrocyte, increased
CDC 'Split Type': WAES0704USA03537

Write-up:Information has been received from a physician concerning a 19 year old female patient who was vaccinated with a dose of Gardasil. The patient experienced joint pain after getting the injection. Unspecified medical attention was sought. Patient''s outcome was unknown. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information by telephone has been received from a physician concerning a 19 year old female patient who was vaccinated with a first and second dose of GARDASIL. The patient experienced joint pain after getting her second injection. Follow up information from the physician indicated that the patient had a positive ANA and an increased sed rate and he was trying to rule out the possibility of lupus. The physician requested additional information about GARDASIL and lupus and whether or not the patient should receive her third injection. On 30-APR-2007 the patient recovered. Additional information has been requested.


Changed on 5/14/2017

279239 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Florida
Vaccinated:0000-00-00
Onset:0000-00-00
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: Other
Symptoms: Arthralgia, Red blood cell sedimentation rate increased, Antinuclear antibody positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Serum ANA, positive; erythrocyte, increased
CDC 'Split Type': WAES0704USA03537

Write-up:Information has been received from a physician concerning a 19 year old female patient who was vaccinated with a dose of Gardasil. The patient experienced joint pain after getting the injection. Unspecified medical attention was sought. Patient''s outcome was unknown. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information by telephone has been received from a physician concerning a 19 year old female patient who was vaccinated with a first and second dose of GARDASIL. The patient experienced joint pain after getting her second injection. Follow up information from the physician indicated that the patient had a positive ANA and an increased sed rate and he was trying to rule out the possibility of lupus. The physician requested additional information about GARDASIL and lupus and whether or not the patient should receive her third injection. On 30-APR-2007 the patient recovered. Additional information has been requested.


Changed on 9/14/2017

279239 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Florida
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Red blood cell sedimentation rate increased, Antinuclear antibody positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Serum ANA, positive; erythrocyte, increased
CDC 'Split Type': WAES0704USA03537

Write-up:Information has been received from a physician concerning a 19 year old female patient who was vaccinated with a dose of Gardasil. The patient experienced joint pain after getting the injection. Unspecified medical attention was sought. Patient''s outcome was unknown. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information by telephone has been received from a physician concerning a 19 year old female patient who was vaccinated with a first and second dose of GARDASIL. The patient experienced joint pain after getting her second injection. Follow up information from the physician indicated that the patient had a positive ANA and an increased sed rate and he was trying to rule out the possibility of lupus. The physician requested additional information about GARDASIL and lupus and whether or not the patient should receive her third injection. On 30-APR-2007 the patient recovered. Additional information has been requested.


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