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This is VAERS ID 279556

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279556
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-04-03
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site mass, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from an office manager concerning a female (age not reported) who on 03-APR-2007 was vaccinated with the third dose of Gardasil. Concomitant medication was not reported. Subsequently on an unspecified date after the patient r"eceived her third dose of Gardasil, the patient developed a lump and soreness at the injection site. The patient sought unspecified medical attention. The patient''''s lump and soreness at injection site persisted. Additional information has been requested.


Changed on 12/8/2009

279556 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-04-03
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Injection site mass, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0704USA05697

Write-up:Information has been received from an office manager concerning a female (age not reported) who on 03-APR-2007 was vaccinated with the third dose of Gardasil. Concomitant medication was not reported. Subsequently on an unspecified date after the patient r"eceived received her third dose of Gardasil, the patient developed a lump and soreness at the injection site. The patient sought unspecified medical attention. The patient''''s patient''s lump and soreness at injection site persisted. Additional information has been requested.


Changed on 9/14/2017

279556 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-04-03
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 3 - / -

Administered by: Private      Purchased by: Other
Symptoms: Injection site mass, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA05697

Write-up:Information has been received from an office manager concerning a female (age not reported) who on 03-APR-2007 was vaccinated with the third dose of Gardasil. Concomitant medication was not reported. Subsequently on an unspecified date after the patient received her third dose of Gardasil, the patient developed a lump and soreness at the injection site. The patient sought unspecified medical attention. The patient''s lump and soreness at injection site persisted. Additional information has been requested.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279556&WAYBACKHISTORY=ON


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