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This is VAERS ID 279672

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279672
VAERS Form:
Age:
Gender:Female
Location:New York
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. 0962F / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning her daughter who on an unspecified date was vaccinated with a dose of Gardasil (lot 654510/0926F). Immediately after receiving Gardasil, her daughter experienced severe pain in area of injection si"te. There was no visible reaction at the injection site such as a rash or swelling. At the time of this report, the outcome was unknown. This is one of several reports from the same source. Additional information has been requested.


Changed on 12/8/2009

279672 Before After
VAERS Form:
Age:
Gender:Female
Location:New York
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. 0962F / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0705USA00423

Write-up:Information has been received from a physician concerning her daughter who on an unspecified date was vaccinated with a dose of Gardasil (lot 654510/0926F). Immediately after receiving Gardasil, her daughter experienced severe pain in area of injection si"te. site. There was no visible reaction at the injection site such as a rash or swelling. At the time of this report, the outcome was unknown. This is one of several reports from the same source. Additional information has been requested.


Changed on 3/2/2010

279672 Before After
VAERS Form:
Age:
Gender:Female
Location:New York
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. 0962F / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA00423

Write-up:Information has been received from a physician concerning her daughter who on an unspecified date was vaccinated with a dose of Gardasil (lot 654510/0926F). Immediately after receiving Gardasil, her daughter experienced severe pain in area of injection site. There was no visible reaction at the injection site such as a rash or swelling. At the time of this report, the outcome was unknown. This is one of several reports from the same source. Additional information has been requested. This is in follow-up to reports previously submitted on 5/14/2007. Information has been received from a physician concerning her daughter who on an unspecified date was vaccinated with a dose of Gardasil (lot 654510/0926F). Immediately after receiving Gardasil, her daughter experienced severe pain in area of injection site. She complained of a burning sensation after the injection. The physician stated that Hepatitis and B12 shots did not hurt as bad as GARDASIL. The physician reported that the pain lasted 24-28 hours and described it to the feeling of receiving an IV of potassium. There was no visible reaction at the injection site such as a rash or swelling. At the time of this report, the outcome was unknown. This is one of several reports from the same source. Additional information has been requested.


Changed on 4/7/2010

279672 Before After
VAERS Form:
Age:
Gender:Female
Location:New York
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. 0962F / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Burning sensation, Injection site pain, Immediate post-injection reaction

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA00423

Write-up:Information has been received from a physician concerning her daughter who on an unspecified date was vaccinated with a dose of Gardasil (lot 654510/0926F). Immediately after receiving Gardasil, her daughter experienced severe pain in area of injection site. There was no visible reaction at the injection site such as a rash or swelling. At the time of this report, the outcome was unknown. This is one of several reports from the same source. Additional information has been requested. This is in follow-up to reports previously submitted on 5/14/2007. Information has been received from a physician concerning her daughter who on an unspecified date was vaccinated with a dose of Gardasil (lot 654510/0926F). Immediately after receiving Gardasil, her daughter experienced severe pain in area of injection site. She complained of a burning sensation after the injection. The physician stated that Hepatitis and B12 shots did not hurt as bad as GARDASIL. The physician reported that the pain lasted 24-28 hours and described it to the feeling of receiving an IV of potassium. There was no visible reaction at the injection site such as a rash or swelling. At the time of this report, the outcome was unknown. This is one of several reports from the same source. Additional information has been requested.


Changed on 6/14/2014

279672 Before After
VAERS Form:
Age:
Gender:Female
Location:New York
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. 0962F / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Burning sensation, Injection site pain, Immediate post-injection reaction

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA00423

Write-up:Information has been received from a physician concerning her daughter who on an unspecified date was vaccinated with a dose of Gardasil (lot 654510/0926F). Immediately after receiving Gardasil, her daughter experienced severe pain in area of injection site. There was no visible reaction at the injection site such as a rash or swelling. At the time of this report, the outcome was unknown. This is one of several reports from the same source. Additional information has been requested. This is in follow-up to reports previously submitted on 5/14/2007. Information has been received from a physician concerning her daughter who on an unspecified date was vaccinated with a dose of Gardasil (lot 654510/0926F). Immediately after receiving Gardasil, her daughter experienced severe pain in area of injection site. She complained of a burning sensation after the injection. The physician stated that Hepatitis and B12 shots did not hurt as bad as GARDASIL. The physician reported that the pain lasted 24-28 hours and described it to the feeling of receiving an IV of potassium. There was no visible reaction at the injection site such as a rash or swelling. At the time of this report, the outcome was unknown. This is one of several reports from the same source. Additional information has been requested.


Changed on 5/14/2017

279672 Before After
VAERS Form:
Age:
Gender:Female
Location:New York
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. 0962F / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Burning sensation, Injection site pain, Immediate post-injection reaction

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA00423

Write-up:Information has been received from a physician concerning her daughter who on an unspecified date was vaccinated with a dose of Gardasil (lot 654510/0926F). Immediately after receiving Gardasil, her daughter experienced severe pain in area of injection site. There was no visible reaction at the injection site such as a rash or swelling. At the time of this report, the outcome was unknown. This is one of several reports from the same source. Additional information has been requested. This is in follow-up to reports previously submitted on 5/14/2007. Information has been received from a physician concerning her daughter who on an unspecified date was vaccinated with a dose of Gardasil (lot 654510/0926F). Immediately after receiving Gardasil, her daughter experienced severe pain in area of injection site. She complained of a burning sensation after the injection. The physician stated that Hepatitis and B12 shots did not hurt as bad as GARDASIL. The physician reported that the pain lasted 24-28 hours and described it to the feeling of receiving an IV of potassium. There was no visible reaction at the injection site such as a rash or swelling. At the time of this report, the outcome was unknown. This is one of several reports from the same source. Additional information has been requested.


Changed on 9/14/2017

279672 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:New York
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. 0962F / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Burning sensation, Injection site pain, Immediate post-injection reaction

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA00423

Write-up:Information has been received from a physician concerning her daughter who on an unspecified date was vaccinated with a dose of Gardasil (lot 654510/0926F). Immediately after receiving Gardasil, her daughter experienced severe pain in area of injection site. There was no visible reaction at the injection site such as a rash or swelling. At the time of this report, the outcome was unknown. This is one of several reports from the same source. Additional information has been requested. This is in follow-up to reports previously submitted on 5/14/2007. Information has been received from a physician concerning her daughter who on an unspecified date was vaccinated with a dose of Gardasil (lot 654510/0926F). Immediately after receiving Gardasil, her daughter experienced severe pain in area of injection site. She complained of a burning sensation after the injection. The physician stated that Hepatitis and B12 shots did not hurt as bad as GARDASIL. The physician reported that the pain lasted 24-28 hours and described it to the feeling of receiving an IV of potassium. There was no visible reaction at the injection site such as a rash or swelling. At the time of this report, the outcome was unknown. This is one of several reports from the same source. Additional information has been requested.


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