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This is VAERS ID 279526

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279526
VAERS Form:
Age:
Gender:Female
Location:New Mexico
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. - / 0 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Body temperature increased, Dizziness, Feeling cold, Hypoaesthesia, Hypotension

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: body temp 99.1; body temp 101
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female who was vaccinated intramuscularly with a first dose of Gardasil (lot # /"0014V/"). Almost immediately after the vaccination, the patient experienced pain at the injection site, cold and n"umbness is her left arm and was unable to make a fist with her left hand. Seven minutes later the patient experienced dizziness. The physician reported that the patient''''s blood pressure lower then normal at that time. Fourteen minutes later the patient d


Changed on 12/8/2009

279526 Before After
VAERS Form:
Age:
Gender:Female
Location:New Mexico
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. - / 0 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Body temperature increased, Dizziness, Feeling cold, Hypoaesthesia, Hypotension, Injection site pain, Pyrexia, Mobility decreased

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: body temp 99.1; body temp 101
CDC 'Split Type': (blank) WAES0704USA04725

Write-up:Information has been received from a physician concerning a female who was vaccinated intramuscularly with a first dose of Gardasil (lot # /"0014V/"). "0014V"). Almost immediately after the vaccination, the patient experienced pain at the injection site, cold and n"umbness numbness is her left arm and was unable to make a fist with her left hand. Seven minutes later the patient experienced dizziness. The physician reported that the patient''''s patient''s blood pressure lower then normal at that time. Fourteen minutes later the patient d developed a fever of 101 degrees. The patient was treated with ibuprofen 600 mg. Twenty-five minutes later patient''s fever 99.1 degrees and her other vital signs were stable. Subsequently, the patient recovered and was sent home. Additional information has been requested.


Changed on 9/14/2017

279526 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:New Mexico
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. - / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Body temperature increased, Dizziness, Feeling cold, Hypoaesthesia, Hypotension, Injection site pain, Pyrexia, Mobility decreased

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: body temp 99.1; body temp 101
CDC 'Split Type': WAES0704USA04725

Write-up:Information has been received from a physician concerning a female who was vaccinated intramuscularly with a first dose of Gardasil (lot # "0014V"). Almost immediately after the vaccination, the patient experienced pain at the injection site, cold and numbness is her left arm and was unable to make a fist with her left hand. Seven minutes later the patient experienced dizziness. The physician reported that the patient''s blood pressure lower then normal at that time. Fourteen minutes later the patient developed a fever of 101 degrees. The patient was treated with ibuprofen 600 mg. Twenty-five minutes later patient''s fever 99.1 degrees and her other vital signs were stable. Subsequently, the patient recovered and was sent home. Additional information has been requested.


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