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This is VAERS ID 279319

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279319
VAERS Form:
Age:26.0
Gender:Female
Location:Missouri
Vaccinated:2007-05-07
Onset:2007-05-09
Submitted:2007-05-16
Entered:2007-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03840 / 0 RA / -

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Injection site erythema, Injection site induration, Injection site pain, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Vaccination given 05/07/07. Patient reports dizziness and nausea starting 5/09/07 et continues. 5/14/07 redness et hardness noted at injection site. Injection site s/s worsened 5/15/07. On 5/16/07 site less red with 1.2 cm hardened area noted with slight"tenderness.


Changed on 12/8/2009

279319 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Missouri
Vaccinated:2007-05-07
Onset:2007-05-09
Submitted:2007-05-16
Entered:2007-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03840 / 0 RA / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness, Injection site erythema, Injection site induration, Injection site pain, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Vaccination given 05/07/07. Patient reports dizziness and nausea starting 5/09/07 et continues. 5/14/07 redness et hardness noted at injection site. Injection site s/s worsened 5/15/07. On 5/16/07 site less red with 1.2 cm hardened area noted with slight"tenderness. slight tenderness.


Changed on 9/14/2017

279319 Before After
VAERS Form:(blank) 1
Age:26.0
Gender:Female
Location:Missouri
Vaccinated:2007-05-07
Onset:2007-05-09
Submitted:2007-05-16
Entered:2007-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03840 / 0 1 RA / -

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Injection site erythema, Injection site induration, Injection site pain, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Vaccination given 05/07/07. Patient reports dizziness and nausea starting 5/09/07 et continues. 5/14/07 redness et hardness noted at injection site. Injection site s/s worsened 5/15/07. On 5/16/07 site less red with 1.2 cm hardened area noted with slight tenderness.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279319&WAYBACKHISTORY=ON


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