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This is VAERS ID 279550

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279550
Age:23.0
Gender:Female
Location:Unknown
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. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site mass, No reaction on previous exposure to drug

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

Write-up:Information has been received from a health professional concerning a 23 year old female who was vaccinated with a second dose of Gardasil (date unspecified). Subsequently, one week following the injection, the patient developed a bump at the injection si"te. It was reported that the patient had no adverse events following the first dose of Gardasil (date unspecified). Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 279550 Before After
Age:23.0
Gender:Female
Location:Unknown
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. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site mass, No reaction on previous exposure to drug

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0704USA05534

Write-up:Information has been received from a health professional concerning a 23 year old female who was vaccinated with a second dose of Gardasil (date unspecified). Subsequently, one week following the injection, the patient developed a bump at the injection si"te. site. It was reported that the patient had no adverse events following the first dose of Gardasil (date unspecified). Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279550&WAYBACKHISTORY=ON


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