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This is VAERS ID 283648

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 283648
Age:18.0
Gender:Female
Location:Connecticut
Vaccinated:2007-06-21
Onset:2007-06-21
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 1 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Dyspnoea, Sensation of heaviness, Mobility decreased, Blood human chorionic gonadotropin negative, Paraesthesia oral

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: beta-human chorionic 06/21?/07 - negative
CDC 'Split Type':

Write-up:Information has been received from a medical assistant concerning an 18 year old female with no pertinent medical history who on 16-APR-2007 was vaccinated with 0.5 ml of the first dose of the Gardasil. On 21-JUN-2007 at 8:45 am, the patient was vaccinate"d intramuscularly with 0.5 ml of the second dose of Gardasil (Lot # 658100/0525U). There was no concomitant medication. A laboratory pregnancy test was performed and the result was negative. On 21-JUN-2007, at noon, the patient experienced shortness of br


Changed on 12/8/2009

VAERS ID: 283648 Before After
Age:18.0
Gender:Female
Location:Connecticut
Vaccinated:2007-06-21
Onset:2007-06-21
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 1 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dyspnoea, Sensation of heaviness, Mobility decreased, Blood human chorionic gonadotropin negative, Paraesthesia oral

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: beta-human chorionic 06/21?/07 - negative
CDC 'Split Type': (blank) WAES0706USA04917

Write-up:Information has been received from a medical assistant concerning an 18 year old female with no pertinent medical history who on 16-APR-2007 was vaccinated with 0.5 ml of the first dose of the Gardasil. On 21-JUN-2007 at 8:45 am, the patient was vaccinate"d vaccinated intramuscularly with 0.5 ml of the second dose of Gardasil (Lot # 658100/0525U). There was no concomitant medication. A laboratory pregnancy test was performed and the result was negative. On 21-JUN-2007, at noon, the patient experienced shortness of br breath, intermittent tingling of the lips and the feeling of her arm being heavy and difficult to lift. The motion of the patient''s arm had gotten worse since 21-JUN-2007 and she found it difficult to do her hair because of the arm. Patient was scheduled to be evaluated at her physician''s office on 26-JUN-2007. At the time of the report, the patient''s shortness of breath, intermittent tingling of the lips, and feeling of her arm being heavy and difficult to lift persisted. The medical assistant considered the shortness of breath, intermittent tingling of the lips and feeling of her arm being heavy and difficult to lift to be a disabling event. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 283648 Before After
Age:18.0
Gender:Female
Location:Connecticut
Vaccinated:2007-06-21
Onset:2007-06-21
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea, Sensation of heaviness, Mobility decreased, Blood human chorionic gonadotropin negative, Paraesthesia oral

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: beta-human chorionic 06/21?/07 - negative
CDC 'Split Type': WAES0706USA04917

Write-up:Information has been received from a medical assistant concerning an 18 year old female with no pertinent medical history who on 16-APR-2007 was vaccinated with 0.5 ml of the first dose of the Gardasil. On 21-JUN-2007 at 8:45 am, the patient was vaccinated intramuscularly with 0.5 ml of the second dose of Gardasil (Lot # 658100/0525U). There was no concomitant medication. A laboratory pregnancy test was performed and the result was negative. On 21-JUN-2007, at noon, the patient experienced shortness of breath, intermittent tingling of the lips and the feeling of her arm being heavy and difficult to lift. The motion of the patient''s arm had gotten worse since 21-JUN-2007 and she found it difficult to do her hair because of the arm. Patient was scheduled to be evaluated at her physician''s office on 26-JUN-2007. At the time of the report, the patient''s shortness of breath, intermittent tingling of the lips, and feeling of her arm being heavy and difficult to lift persisted. The medical assistant considered the shortness of breath, intermittent tingling of the lips and feeling of her arm being heavy and difficult to lift to be a disabling event. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 283648 Before After
Age:18.0
Gender:Female
Location:Connecticut
Vaccinated:2007-06-21
Onset:2007-06-21
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea, Sensation of heaviness, Mobility decreased, Blood human chorionic gonadotropin negative, Paraesthesia oral

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: beta-human chorionic 06/21?/07 - negative
CDC 'Split Type': WAES0706USA04917

Write-up:Information has been received from a medical assistant concerning an 18 year old female with no pertinent medical history who on 16-APR-2007 was vaccinated with 0.5 ml of the first dose of the Gardasil. On 21-JUN-2007 at 8:45 am, the patient was vaccinated intramuscularly with 0.5 ml of the second dose of Gardasil (Lot # 658100/0525U). There was no concomitant medication. A laboratory pregnancy test was performed and the result was negative. On 21-JUN-2007, at noon, the patient experienced shortness of breath, intermittent tingling of the lips and the feeling of her arm being heavy and difficult to lift. The motion of the patient''s arm had gotten worse since 21-JUN-2007 and she found it difficult to do her hair because of the arm. Patient was scheduled to be evaluated at her physician''s office on 26-JUN-2007. At the time of the report, the patient''s shortness of breath, intermittent tingling of the lips, and feeling of her arm being heavy and difficult to lift persisted. The medical assistant considered the shortness of breath, intermittent tingling of the lips and feeling of her arm being heavy and difficult to lift to be a disabling event. Additional information has been requested.


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