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This is VAERS ID 279541

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279541
Age:12.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-18
Onset:2007-04-18
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Condition aggravated, Oedema peripheral

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

Write-up:Information has been received from a physician concerning a 12 year old female with a history of plantar warts and gastrooesophageal reflux who on 18-APR-2007 was vaccinated with Gardasil (lot #654535/0960F). Concomitant therapy included Varivax given at"the same visit. On 18-APR-2007, shortly after receiving the vaccination in her right deltoid, the patient experienced swelling in both of her hands but mostly in the right. The swelling occurred near areas of pre-existing Plantar warts. The patient sought


Changed on 12/8/2009

VAERS ID: 279541 Before After
Age:12.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-18
Onset:2007-04-18
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Condition aggravated, Oedema peripheral

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Plantar warts; Gastrooesophageal reflux
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA05154

Write-up:Information has been received from a physician concerning a 12 year old female with a history of plantar warts and gastrooesophageal reflux who on 18-APR-2007 was vaccinated with Gardasil (lot #654535/0960F). Concomitant therapy included Varivax given at"the at the same visit. On 18-APR-2007, shortly after receiving the vaccination in her right deltoid, the patient experienced swelling in both of her hands but mostly in the right. The swelling occurred near areas of pre-existing Plantar warts. The patient sought unspecified medical attention. No further information was provided. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 279541 Before After
Age:12.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-18
Onset:2007-04-18 2007-04-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UN / UN

Administered by: Other Private      Purchased by: Other Public
Symptoms: Condition aggravated, Oedema peripheral

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Plantar warts
Preexisting Conditions: Plantar warts; Gastrooesophageal reflux
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA05154

Write-up:Information This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow-up information has been received from a physician concerning a 12 year old female with no known drug allergies, plantar warts on hand/fingers at the time of vaccination and a history of plantar warts and gastrooesophageal reflux who on 18-APR-2007 at 16:15 was vaccinated with Gardasil intramuscularly into the right deltoid with a first 0.5 mL dose of GARDASIL (lot #654535/0960F). Concomitant therapy included Varivax VARIVAX given at the same visit. visit using a different site. On 18-APR-2007, shortly 23-APR-2007 at 07:00 (also reported as "a short time after receiving the vaccination in her right deltoid, vaccination"), the patient experienced developed swelling and pain in the fingers of the hand near the pre-existing plantar warts on the hand of the arm in which she received the GARDASIL (also reported as swelling in both of her hands but mostly in the right. The swelling occurred near areas of pre-existing Plantar warts. right). The patient sought unspecified medical attention. No laboratory diagnostic tests were performed. The symptoms resolved over 5 days and "are now gone." No further information was provided. No product quality complaint was involved. Additional information has been requested. is not expected.


Changed on 2/14/2017

VAERS ID: 279541 Before After
Age:12.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-18
Onset:2007-04-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UN / UN

Administered by: Private      Purchased by: Public
Symptoms: Condition aggravated, Oedema peripheral

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Plantar warts
Preexisting Conditions: Plantar warts; Gastrooesophageal reflux
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA05154

Write-up:This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow-up information has been received from a physician concerning a 12 year old female with no known drug allergies, plantar warts on hand/fingers at the time of vaccination and a history of gastrooesophageal reflux who on 18-APR-2007 at 16:15 was vaccinated with intramuscularly into the right deltoid with a first 0.5 mL dose of GARDASIL (lot #654535/0960F). Concomitant therapy included VARIVAX given at the same visit using a different site. On 23-APR-2007 at 07:00 (also reported as "a short time after the vaccination"), the patient developed swelling and pain in the fingers of the hand near the pre-existing plantar warts on the hand of the arm in which she received the GARDASIL (also reported as swelling in both of her hands but mostly in the right). The patient sought unspecified medical attention. No laboratory diagnostic tests were performed. The symptoms resolved over 5 days and "are “are now gone." gone.” No further information was provided. No product quality complaint was involved. Additional information is not expected.


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