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This is VAERS ID 279649

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279649
Age:15.0
Gender:Female
Location:Illinois
Vaccinated:2007-02-23
Onset:2007-02-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 RA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Myalgia, Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 15 year old female with no pertinent medical history who on 23-FEB-2007 was vaccinated IM in her right arm with 0.5 ml, first dose of Gardasil (lot # 656049/0187U). There was no concomitan"t medications. On 23-FEB-2007 the patient experienced initial stinging that turned into muscle soreness. There were no laboratory or diagnostic tests performed. Unspecified medical attention was sought. As of 30-APR-2007, the patient''''s initial stinging a


Changed on 12/8/2009

VAERS ID: 279649 Before After
Age:15.0
Gender:Female
Location:Illinois
Vaccinated:2007-02-23
Onset:2007-02-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 RA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Myalgia, Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0705USA00037

Write-up:Information has been received from a registered nurse concerning a 15 year old female with no pertinent medical history who on 23-FEB-2007 was vaccinated IM in her right arm with 0.5 ml, first dose of Gardasil (lot # 656049/0187U). There was no concomitan"t concomitant medications. On 23-FEB-2007 the patient experienced initial stinging that turned into muscle soreness. There were no laboratory or diagnostic tests performed. Unspecified medical attention was sought. As of 30-APR-2007, the patient''''s patient''s initial stinging a and muscle soreness persisted. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 279649 Before After
Age:15.0
Gender:Female
Location:Illinois
Vaccinated:2007-02-23
Onset:2007-02-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 RA / IM

Administered by: Other Private      Purchased by: Other
Symptoms: Myalgia, Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00037

Write-up:Information Initial and follow up information has been received from a registered nurse concerning a 15 year old female with no pertinent medical history who on 23-FEB-2007 was vaccinated IM in her right arm with 0.5 ml, first dose of Gardasil GARDASIL vaccine (lot # 656049/0187U). There was no concomitant medications. On 23-FEB-2007 the patient experienced initial stinging that turned into muscle soreness. There were no laboratory or diagnostic tests performed. Unspecified medical attention was sought. As of 30-APR-2007, the patient''s initial stinging and muscle soreness persisted. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007. Additional information not expected.


Changed on 6/14/2014

VAERS ID: 279649 Before After
Age:15.0
Gender:Female
Location:Illinois
Vaccinated:2007-02-23
Onset:2007-02-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Myalgia, Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00037

Write-up:Initial and follow up information has been received from a registered nurse concerning a 15 year old female with no pertinent medical history who on 23-FEB-2007 was vaccinated IM in her right arm with 0.5 ml, first dose of GARDASIL vaccine (lot # 656049/0187U). There was no concomitant medications. On 23-FEB-2007 the patient experienced initial stinging that turned into muscle soreness. There were no laboratory or diagnostic tests performed. Unspecified medical attention was sought. As of 30-APR-2007, the patient''s initial stinging and muscle soreness persisted. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007. Additional information not expected.


Changed on 5/14/2017

VAERS ID: 279649 Before After
Age:15.0
Gender:Female
Location:Illinois
Vaccinated:2007-02-23
Onset:2007-02-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Myalgia, Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00037

Write-up:Initial and follow up information has been received from a registered nurse concerning a 15 year old female with no pertinent medical history who on 23-FEB-2007 was vaccinated IM in her right arm with 0.5 ml, first dose of GARDASIL vaccine (lot # 656049/0187U). There was no concomitant medications. On 23-FEB-2007 the patient experienced initial stinging that turned into muscle soreness. There were no laboratory or diagnostic tests performed. Unspecified medical attention was sought. As of 30-APR-2007, the patient''s initial stinging and muscle soreness persisted. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007. Additional information not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279649&WAYBACKHISTORY=ON


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