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This is VAERS ID 281086

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

281086
VAERS Form:
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-05
Onset:2007-06-06
Submitted:2007-06-08
Entered:2007-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0314U / 1 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Back pain, Headache, Hypoaesthesia, Paraesthesia

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: None
Preexisting Conditions: allergic rhinitis
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:paraesthesias bilateral arms upon awakening frontal/temporal headache, lower back pain, thighs and arms numb. -All self resolved with in hours


Changed on 12/8/2009

281086 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-05
Onset:2007-06-06
Submitted:2007-06-08
Entered:2007-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0314U / 1 LA / UN

Administered by: Private      Purchased by: Unknown Private
Symptoms: Back pain, Headache, Hypoaesthesia, Paraesthesia

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: None
Preexisting Conditions: allergic rhinitis
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:paraesthesias bilateral arms upon awakening frontal/temporal headache, lower back pain, thighs and arms numb. -All self resolved with in hours


Changed on 9/14/2017

281086 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-05
Onset:2007-06-06
Submitted:2007-06-08
Entered:2007-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0314U / 1 2 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Back pain, Headache, Hypoaesthesia, Paraesthesia

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: None
Preexisting Conditions: allergic rhinitis
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:paraesthesias bilateral arms upon awakening frontal/temporal headache, lower back pain, thighs and arms numb. -All self resolved with in hours


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