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This is VAERS ID 283607

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 283607
VAERS Form:
Age:20.0
Gender:Female
Location:Florida
Vaccinated:2007-06-07
Onset:2007-06-11
Submitted:2007-07-02
Entered:2007-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 GM / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Hypoaesthesia, Injection site rash

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: Noncontributory
Current Illness: None
Preexisting Conditions: Noncontributory
Allergies:
Diagnostic Lab Data: Noncontributory
CDC 'Split Type':

Write-up: Administered dose of Gardasil 06/07/07 to right gluteus. Notified office, via telephone, on 06/11/07 of 3 episodes numbness in RLE and site rash since injection. Went to ER 06/12/07 w/c/o RUE, RLE numbness.


Changed on 1/5/2010

VAERS ID: 283607 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Florida
Vaccinated:2007-06-07
Onset:2007-06-11
Submitted:2007-07-02
Entered:2007-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 GM / IM

Administered by: Private Unknown      Purchased by: Unknown
Symptoms: Hypoaesthesia, Injection site rash

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: Noncontributory
Current Illness: None
Preexisting Conditions: Noncontributory
Allergies:
Diagnostic Lab Data: Noncontributory
CDC 'Split Type':

Write-up: Administered dose of Gardasil 06/07/07 to right gluteus. Notified office, via telephone, on 06/11/07 of 3 episodes numbness in RLE and site rash since injection. Went to ER 06/12/07 w/c/o RUE, RLE numbness.


Changed on 6/14/2014

VAERS ID: 283607 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Florida
Vaccinated:2007-06-07
Onset:2007-06-11
Submitted:2007-07-02
Entered:2007-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 GM / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypoaesthesia, Injection site rash

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: Noncontributory
Current Illness: None
Preexisting Conditions: Noncontributory
Allergies:
Diagnostic Lab Data: Noncontributory
CDC 'Split Type':

Write-up: Administered dose of Gardasil 06/07/07 to right gluteus. Notified office, via telephone, on 06/11/07 of 3 episodes numbness in RLE and site rash since injection. Went to ER 06/12/07 w/c/o RUE, RLE numbness.


Changed on 5/14/2017

VAERS ID: 283607 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Florida
Vaccinated:2007-06-07
Onset:2007-06-11
Submitted:2007-07-02
Entered:2007-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 GM / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypoaesthesia, Injection site rash

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: Noncontributory
Current Illness: None
Preexisting Conditions: Noncontributory
Allergies:
Diagnostic Lab Data: Noncontributory
CDC 'Split Type':

Write-up: Administered dose of Gardasil 06/07/07 to right gluteus. Notified office, via telephone, on 06/11/07 of 3 episodes numbness in RLE and site rash since injection. Went to ER 06/12/07 w/c/o RUE, RLE numbness.


Changed on 9/14/2017

VAERS ID: 283607 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:Florida
Vaccinated:2007-06-07
Onset:2007-06-11
Submitted:2007-07-02
Entered:2007-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 1 GM / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypoaesthesia, Injection site rash

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: Noncontributory
Current Illness: None
Preexisting Conditions: Noncontributory
Allergies:
Diagnostic Lab Data: Noncontributory
CDC 'Split Type':

Write-up: Administered dose of Gardasil 06/07/07 to right gluteus. Notified office, via telephone, on 06/11/07 of 3 episodes numbness in RLE and site rash since injection. Went to ER 06/12/07 w/c/o RUE, RLE numbness.


Changed on 2/14/2018

VAERS ID: 283607 Before After
VAERS Form:1
Age:20.0
Gender:Female
Location:Florida
Vaccinated:2007-06-07
Onset:2007-06-11
Submitted:2007-07-02
Entered:2007-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 1 GM / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypoaesthesia, Injection site rash

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: Noncontributory
Current Illness: None
Preexisting Conditions: Noncontributory
Allergies:
Diagnostic Lab Data: Noncontributory
CDC 'Split Type':

Write-up: Administered dose of Gardasil 06/07/07 to right gluteus. Notified office, via telephone, on 06/11/07 of 3 episodes numbness in RLE and site rash since injection. Went to ER 06/12/07 w/c/o RUE, RLE numbness.


Changed on 6/14/2018

VAERS ID: 283607 Before After
VAERS Form:1
Age:20.0
Gender:Female
Location:Florida
Vaccinated:2007-06-07
Onset:2007-06-11
Submitted:2007-07-02
Entered:2007-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 1 GM / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypoaesthesia, Injection site rash

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: Noncontributory
Current Illness: None
Preexisting Conditions: Noncontributory
Allergies:
Diagnostic Lab Data: Noncontributory
CDC 'Split Type':

Write-up: Administered dose of Gardasil 06/07/07 to right gluteus. Notified office, via telephone, on 06/11/07 of 3 episodes numbness in RLE and site rash since injection. Went to ER 06/12/07 w/c/o RUE, RLE numbness.

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