National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 281914

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

281914
VAERS Form:
Age:25.0
Gender:Female
Location:Missouri
Vaccinated:2007-06-08
Onset:2007-06-12
Submitted:2007-06-15
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / - GM / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug administered at inappropriate site, Full blood count, Injection site pain, Lymphadenopathy, Tenderness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Levara
Current Illness: Molluscum contagiosum opposite side
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':

Write-up:PT has Gardasil injection IM right hip upper outer quadrant on 6/8/07. On 6/13/07 pt was seen for painful swollen lymph node R inguinal area and tenderness from area of injection to lymph node. WBC count was not elevated.


Changed on 12/8/2009

281914 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:Missouri
Vaccinated:2007-06-08
Onset:2007-06-12
Submitted:2007-06-15
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / - GM / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug administered at inappropriate site, Full blood count, Injection site pain, Lymphadenopathy, Tenderness, White blood cell count

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Levara
Current Illness: Molluscum contagiosum opposite side
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':

Write-up:PT has Gardasil injection IM right hip upper outer quadrant on 6/8/07. On 6/13/07 pt was seen for painful swollen lymph node R inguinal area and tenderness from area of injection to lymph node. WBC count was not elevated.


Changed on 9/14/2017

281914 Before After
VAERS Form:(blank) 1
Age:25.0
Gender:Female
Location:Missouri
Vaccinated:2007-06-08
Onset:2007-06-12
Submitted:2007-06-15
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / - UNK GM / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug administered at inappropriate site, Full blood count, Injection site pain, Lymphadenopathy, Tenderness, White blood cell count

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Levara
Current Illness: Molluscum contagiosum opposite side
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC
CDC 'Split Type':

Write-up:PT has Gardasil injection IM right hip upper outer quadrant on 6/8/07. On 6/13/07 pt was seen for painful swollen lymph node R inguinal area and tenderness from area of injection to lymph node. WBC count was not elevated.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281914&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166