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This is VAERS ID 279641

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279641
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-25
Onset:2007-03-29
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Blister, Chest X-ray normal, Full blood count, Lip swelling, Lymphocyte count increased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NUVARING
Current Illness:
Preexisting Conditions: Tuberculosis test positive; Chest X-ray
Diagnostic Lab Data: lymphocyte count - slightly elevated, complete blood cell, erythrocyte
CDC 'Split Type':

Write-up:Information has been received from a Physician Assistant concerning an 18 year old female patient with a history of tuberculosis test positive with Mantoux test and negative with chest x-ray who on 25-JAN-2007 was vaccinated IM with a first dose of Gardas"il, lot # 653650/0702F. Concomitant therapy included Nuvaring. On 29-MAR-2007 the patient was vaccinated with a second dose of Gardasil. The night of 29-MAR-2007 she developed pain in the medial aspect of her left foot with swelling. On 30-APR-2007 (next


Changed on 12/8/2009

VAERS ID: 279641 Before After
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-25
Onset:2007-03-29
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Blister, Chest X-ray normal, Full blood count, Lip swelling, Lymphocyte count increased, Oedema peripheral, Pain in extremity

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NUVARING
Current Illness:
Preexisting Conditions: Tuberculosis test positive; Chest X-ray
Diagnostic Lab Data: lymphocyte count - slightly elevated, complete blood cell, erythrocyte
CDC 'Split Type': (blank) WAES0704USA06596

Write-up:Information has been received from a Physician Assistant concerning an 18 year old female patient with a history of tuberculosis test positive with Mantoux test and negative with chest x-ray who on 25-JAN-2007 was vaccinated IM with a first dose of Gardas"il, Gardasil, lot # 653650/0702F. Concomitant therapy included Nuvaring. On 29-MAR-2007 the patient was vaccinated with a second dose of Gardasil. The night of 29-MAR-2007 she developed pain in the medial aspect of her left foot with swelling. On 30-APR-2007 (next day) she developed swelling of both feet. She then had blisters on both hips and swelling of her lower lip. On 04-APR-2007 she was seen in the Urgent Care and was treated with Diclofenac, Claritin D and tapered Prednisone for 6 days. Sedimentation rate, complete Blood Count with differential studies performed. Lymphocytes was slightly elevated. The patient recovered. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 279641 Before After
Age:18.0
Gender:Female
Location:Unknown Minnesota
Vaccinated:2007-01-25
Onset:2007-03-29
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 - LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest X-ray normal, Full blood count, Lip swelling, Lymphocyte count increased, Oedema peripheral, Pain in extremity

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NUVARING
Current Illness:
Preexisting Conditions: Tuberculosis test positive; Chest X-ray
Diagnostic Lab Data: lymphocyte count - count, slightly elevated, elevated; complete blood cell, erythrocyte completed; erythrocyte; hemoglobin, 13.7; hematorcrit, 39.9; lymphocyte count, 4H.5; white blood cell, 6.3; erythrocyte, 16; platelet count, 314
CDC 'Split Type': WAES0704USA06596

Write-up:Information Initial and follow up information has been received from a Physician Assistant concerning an 18 year old female patient student with a history of tuberculosis test positive with Mantoux test and negative with chest x-ray who on 25-JAN-2007 was vaccinated IM with a first dose of Gardasil, lot # 653650/0702F. 653650/0702U. Concomitant therapy included Nuvaring. On 29-MAR-2007 29-MAR-2007, at AM the patient was vaccinated with a second dose of Gardasil. Gardasi into the left arml. The night of 29-MAR-2007 she developed pain in the medial aspect of her left foot with swelling. On 30-APR-2007 (next day) she developed swelling of both feet. She also developed swelling along medial aspect of right foot. She tried a pain medication DICLOFENAC which was given to her for another condition without relief. She then had blisters on both hips and swelling of her lower lip. On 04-APR-2007 she was seen in the Urgent Care and was treated with Diclofenac, Claritin D and tapered Prednisone for 6 days. Sedimentation rate, complete Blood Count with differential studies performed. Lymphocytes was slightly elevated. elevated which was 48.5 HGB was 13.7. HCT was 39.9 and WBC was 6.3, Sed rate was at 16. The patient was seen on 06-Apr-2007 and 18-Apr-2007. The patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007; 7/6/2007. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 279641 Before After
Age:18.0
Gender:Female
Location:Minnesota
Vaccinated:2007-01-25
Onset:2007-03-29
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest X-ray normal, Full blood count, Lip swelling, Lymphocyte count increased, Oedema peripheral, Pain in extremity

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NUVARING
Current Illness:
Preexisting Conditions: Tuberculosis test positive; Chest X-ray
Diagnostic Lab Data: lymphocyte count, slightly elevated; complete blood cell, completed; erythrocyte; hemoglobin, 13.7; hematorcrit, 39.9; lymphocyte count, 4H.5; white blood cell, 6.3; erythrocyte, 16; platelet count, 314
CDC 'Split Type': WAES0704USA06596

Write-up:Initial and follow up information has been received from a Physician Assistant concerning an 18 year old female student with a history of tuberculosis test positive with Mantoux test and negative with chest x-ray who on 25-JAN-2007 was vaccinated IM with a first dose of Gardasil, lot # 653650/0702U. Concomitant therapy included Nuvaring. On 29-MAR-2007, at AM the patient was vaccinated with a second dose of Gardasi into the left arml. The night of 29-MAR-2007 she developed pain in the medial aspect of her left foot with swelling. On 30-APR-2007 (next day) she developed swelling of both feet. She also developed swelling along medial aspect of right foot. She tried a pain medication DICLOFENAC which was given to her for another condition without relief. She then had blisters on both hips and swelling of her lower lip. On 04-APR-2007 she was seen in the Urgent Care and was treated with Diclofenac, Claritin D and tapered Prednisone for 6 days. Sedimentation rate, complete Blood Count with differential studies performed. Lymphocytes was slightly elevated which was 48.5 HGB was 13.7. HCT was 39.9 and WBC was 6.3, Sed rate was at 16. The patient was seen on 06-Apr-2007 and 18-Apr-2007. The patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007; 7/6/2007. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 279641 Before After
Age:18.0
Gender:Female
Location:Minnesota
Vaccinated:2007-01-25
Onset:2007-03-29
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest X-ray normal, Full blood count, Lip swelling, Lymphocyte count increased, Oedema peripheral, Pain in extremity

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NUVARING
Current Illness:
Preexisting Conditions: Tuberculosis test positive; Chest X-ray
Diagnostic Lab Data: lymphocyte count, slightly elevated; complete blood cell, completed; erythrocyte; hemoglobin, 13.7; hematorcrit, 39.9; lymphocyte count, 4H.5; white blood cell, 6.3; erythrocyte, 16; platelet count, 314
CDC 'Split Type': WAES0704USA06596

Write-up:Initial and follow up information has been received from a Physician Assistant concerning an 18 year old female student with a history of tuberculosis test positive with Mantoux test and negative with chest x-ray who on 25-JAN-2007 was vaccinated IM with a first dose of Gardasil, lot # 653650/0702U. Concomitant therapy included Nuvaring. On 29-MAR-2007, at AM the patient was vaccinated with a second dose of Gardasi into the left arml. The night of 29-MAR-2007 she developed pain in the medial aspect of her left foot with swelling. On 30-APR-2007 (next day) she developed swelling of both feet. She also developed swelling along medial aspect of right foot. She tried a pain medication DICLOFENAC which was given to her for another condition without relief. She then had blisters on both hips and swelling of her lower lip. On 04-APR-2007 she was seen in the Urgent Care and was treated with Diclofenac, Claritin D and tapered Prednisone for 6 days. Sedimentation rate, complete Blood Count with differential studies performed. Lymphocytes was slightly elevated which was 48.5 HGB was 13.7. HCT was 39.9 and WBC was 6.3, Sed rate was at 16. The patient was seen on 06-Apr-2007 and 18-Apr-2007. The patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007; 7/6/2007. Additional information is not expected.


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