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This is VAERS ID 281897

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

281897
VAERS Form:
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-06-01
Onset:2007-06-01
Submitted:2007-06-14
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Facial pain, Facial palsy, Pain in extremity, Syncope, Facial paresis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a health professional concerning a 26 year old female with no medical history or allergies, who in June 2007, was vaccinated with a dose of Gardasil. There was no concomitant medication. In June 2007, the patient experie"nced severe pain in her arm, fainted, facial weakness, Bells Palsy, and facial pain after being vaccinated with Gardasil. The patient did go to the ER however, was not admitted to the hospital. At the time if this report, the patient had not recovered. No


Changed on 12/8/2009

281897 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-06-01
Onset:2007-06-01
Submitted:2007-06-14
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Facial pain, Facial palsy, Pain in extremity, Syncope, Facial paresis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0706USA01210

Write-up:Information has been received from a health professional concerning a 26 year old female with no medical history or allergies, who in June 2007, was vaccinated with a dose of Gardasil. There was no concomitant medication. In June 2007, the patient experie"nced experienced severe pain in her arm, fainted, facial weakness, Bells Palsy, and facial pain after being vaccinated with Gardasil. The patient did go to the ER however, was not admitted to the hospital. At the time if this report, the patient had not recovered. No product quality complaint was involved. Severe pain in arm, fainted, facial weakness, Bells Palsy, and facial pain were considered to be disabling. Additional information is not expected.


Changed on 9/14/2017

281897 Before After
VAERS Form:(blank) 1
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-06-01
Onset:2007-06-01
Submitted:2007-06-14
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Facial pain, Facial palsy, Pain in extremity, Syncope, Facial paresis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0706USA01210

Write-up:Information has been received from a health professional concerning a 26 year old female with no medical history or allergies, who in June 2007, was vaccinated with a dose of Gardasil. There was no concomitant medication. In June 2007, the patient experienced severe pain in her arm, fainted, facial weakness, Bells Palsy, and facial pain after being vaccinated with Gardasil. The patient did go to the ER however, was not admitted to the hospital. At the time if this report, the patient had not recovered. No product quality complaint was involved. Severe pain in arm, fainted, facial weakness, Bells Palsy, and facial pain were considered to be disabling. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281897&WAYBACKHISTORY=ON


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