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This is VAERS ID 279666

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279666
VAERS Form:
Age:20.0
Gender:Female
Location:Colorado
Vaccinated:2007-04-16
Onset:2007-04-16
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site mass, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives, VALTREX
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a registered nurse, concerning a 20 year old female who on approximately 16-APR-2007 was vaccinated with the first dose, IM in the right deltoid, 0.5ml, of Gardasil. Concomitant therapy included Valtrex and hormonal cont"raceptives (unspecified). Immediately after the injection (approximately 16-APR-2007), the patient''''s arm was sore. On 30-APR-2007, two weeks later, the nurse confirmed the soreness continued and the patient complained her arm with any pressure applied; i


Changed on 12/8/2009

279666 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Colorado
Vaccinated:2007-04-16
Onset:2007-04-16
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site mass, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives, VALTREX
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0705USA00168

Write-up:Information has been received from a registered nurse, concerning a 20 year old female who on approximately 16-APR-2007 was vaccinated with the first dose, IM in the right deltoid, 0.5ml, of Gardasil. Concomitant therapy included Valtrex and hormonal cont"raceptives contraceptives (unspecified). Immediately after the injection (approximately 16-APR-2007), the patient''''s patient''s arm was sore. On 30-APR-2007, two weeks later, the nurse confirmed the soreness continued and the patient complained her arm with any pressure applied; i in addition, a small lump was present under the skin at the injection site. At the time of this report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 9/14/2017

279666 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:Colorado
Vaccinated:2007-04-16
Onset:2007-04-16
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site mass, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives, VALTREX
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00168

Write-up:Information has been received from a registered nurse, concerning a 20 year old female who on approximately 16-APR-2007 was vaccinated with the first dose, IM in the right deltoid, 0.5ml, of Gardasil. Concomitant therapy included Valtrex and hormonal contraceptives (unspecified). Immediately after the injection (approximately 16-APR-2007), the patient''s arm was sore. On 30-APR-2007, two weeks later, the nurse confirmed the soreness continued and the patient complained her arm with any pressure applied; in addition, a small lump was present under the skin at the injection site. At the time of this report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested.


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