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This is VAERS ID 280174

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 280174
Age:21.0
Gender:Female
Location:California
Vaccinated:2007-04-27
Onset:2007-06-01
Submitted:2007-06-03
Entered:2007-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384D / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Cyst, Injection site cyst, Injection site pain, Skin lesion

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

Write-up:L Deltoid area Cyst like lesion 0.5 x 0.5cm + tenderness 5 wks after vaccine placed.


Changed on 12/8/2009

VAERS ID: 280174 Before After
Age:21.0
Gender:Female
Location:California
Vaccinated:2007-04-27
Onset:2007-06-01
Submitted:2007-06-03
Entered:2007-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384D / 1 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Cyst, Injection site cyst, Injection site pain, Skin lesion

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

Write-up:L Deltoid area Cyst like lesion 0.5 x 0.5cm + tenderness 5 wks after vaccine placed.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=280174&WAYBACKHISTORY=ON


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