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This is VAERS ID 279648

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279648
VAERS Form:
Age:
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. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Burning sensation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a licensed practical nurse concerning a female who was vaccinated with Gardasil. There was no concomitant medication. Subsequently the patient experienced burning sensation after receiving the vaccination and sought medi"cal attention. Subsequently, the patient recovered from the burning sensation. No product quality complaint was involved. Additional information has been requested.


Changed on 12/8/2009

279648 Before After
VAERS Form:
Age:
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. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Burning sensation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0705USA00011

Write-up:Information has been received from a licensed practical nurse concerning a female who was vaccinated with Gardasil. There was no concomitant medication. Subsequently the patient experienced burning sensation after receiving the vaccination and sought medi"cal medical attention. Subsequently, the patient recovered from the burning sensation. No product quality complaint was involved. Additional information has been requested.


Changed on 3/2/2010

279648 Before After
VAERS Form:
Age:(blank) 10.0
Gender:Female
Location:Unknown Kansas
Vaccinated:0000-00-00 2007-03-26
Onset:0000-00-00 2007-03-26
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0523U / 0 UN / UN IM

Administered by: Other      Purchased by: Other
Symptoms: Burning sensation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00011

Write-up:Information has been received from a licensed practical nurse concerning a female who was vaccinated with Gardasil. There was no concomitant medication. Subsequently the patient experienced burning sensation after receiving the vaccination and sought medical attention. Subsequently, the patient recovered from the burning sensation. No product quality complaint was involved. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow-up information has been received from a licensed practical nurse (LPN) concerning a 10 year old female, who on 26-MAR-2007, was vaccinated intramuscularly with a 0.5 mL dose of GARDASIL, (Lot # 657868/0523U), expiration date 09-FEB-2010). There were no concomitant medication. Subsequently the patient experienced burning sensation after receiving the vaccination and sought unspecified medical attention. The symptom lasted for a few minutes. Subsequently, the patient recovered from the burning sensation. No product quality complaint was involved. In follow-up it was reported by the LPN that the patient complained of burning and soreness at the injection site after the medication was administered. It was reported that the burning lasted for approximately one hour. At the time of the report, it was unknown if the patient recovered from soreness at injection site. No medication treatment was needed. Additional information has been requested.


Changed on 6/14/2014

279648 Before After
VAERS Form:
Age:10.0
Gender:Female
Location:Kansas
Vaccinated:2007-03-26
Onset:2007-03-26
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Burning sensation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00011

Write-up:Information has been received from a licensed practical nurse concerning a female who was vaccinated with Gardasil. There was no concomitant medication. Subsequently the patient experienced burning sensation after receiving the vaccination and sought medical attention. Subsequently, the patient recovered from the burning sensation. No product quality complaint was involved. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow-up information has been received from a licensed practical nurse (LPN) concerning a 10 year old female, who on 26-MAR-2007, was vaccinated intramuscularly with a 0.5 mL dose of GARDASIL, (Lot # 657868/0523U), expiration date 09-FEB-2010). There were no concomitant medication. Subsequently the patient experienced burning sensation after receiving the vaccination and sought unspecified medical attention. The symptom lasted for a few minutes. Subsequently, the patient recovered from the burning sensation. No product quality complaint was involved. In follow-up it was reported by the LPN that the patient complained of burning and soreness at the injection site after the medication was administered. It was reported that the burning lasted for approximately one hour. At the time of the report, it was unknown if the patient recovered from soreness at injection site. No medication treatment was needed. Additional information has been requested.


Changed on 5/14/2017

279648 Before After
VAERS Form:
Age:10.0
Gender:Female
Location:Kansas
Vaccinated:2007-03-26
Onset:2007-03-26
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Burning sensation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00011

Write-up:Information has been received from a licensed practical nurse concerning a female who was vaccinated with Gardasil. There was no concomitant medication. Subsequently the patient experienced burning sensation after receiving the vaccination and sought medical attention. Subsequently, the patient recovered from the burning sensation. No product quality complaint was involved. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow-up information has been received from a licensed practical nurse (LPN) concerning a 10 year old female, who on 26-MAR-2007, was vaccinated intramuscularly with a 0.5 mL dose of GARDASIL, (Lot # 657868/0523U), expiration date 09-FEB-2010). There were no concomitant medication. Subsequently the patient experienced burning sensation after receiving the vaccination and sought unspecified medical attention. The symptom lasted for a few minutes. Subsequently, the patient recovered from the burning sensation. No product quality complaint was involved. In follow-up it was reported by the LPN that the patient complained of burning and soreness at the injection site after the medication was administered. It was reported that the burning lasted for approximately one hour. At the time of the report, it was unknown if the patient recovered from soreness at injection site. No medication treatment was needed. Additional information has been requested.


Changed on 9/14/2017

279648 Before After
VAERS Form:(blank) 1
Age:10.0
Gender:Female
Location:Kansas
Vaccinated:2007-03-26
Onset:2007-03-26
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Burning sensation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00011

Write-up:Information has been received from a licensed practical nurse concerning a female who was vaccinated with Gardasil. There was no concomitant medication. Subsequently the patient experienced burning sensation after receiving the vaccination and sought medical attention. Subsequently, the patient recovered from the burning sensation. No product quality complaint was involved. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow-up information has been received from a licensed practical nurse (LPN) concerning a 10 year old female, who on 26-MAR-2007, was vaccinated intramuscularly with a 0.5 mL dose of GARDASIL, (Lot # 657868/0523U), expiration date 09-FEB-2010). There were no concomitant medication. Subsequently the patient experienced burning sensation after receiving the vaccination and sought unspecified medical attention. The symptom lasted for a few minutes. Subsequently, the patient recovered from the burning sensation. No product quality complaint was involved. In follow-up it was reported by the LPN that the patient complained of burning and soreness at the injection site after the medication was administered. It was reported that the burning lasted for approximately one hour. At the time of the report, it was unknown if the patient recovered from soreness at injection site. No medication treatment was needed. Additional information has been requested.


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