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This is VAERS ID 283734

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283734
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Hypersensitivity, Joint swelling, Oedema peripheral

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA00298

Write-up:Information has been received from a physician concerning a patient who was vaccinated with a dose of Gardasil. A week later the patient experienced swelling of the wrist, ankles and feet with edema and extreme sensitivity. The patient was seen in the ER and was given NAPROSYN. The patient''s outcome was unknown. No product quality complaint was involved. Additional information is not expected.


Changed on 9/14/2017

283734 Before After
VAERS Form:(blank) 1
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Hypersensitivity, Joint swelling, Oedema peripheral

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA00298

Write-up:Information has been received from a physician concerning a patient who was vaccinated with a dose of Gardasil. A week later the patient experienced swelling of the wrist, ankles and feet with edema and extreme sensitivity. The patient was seen in the ER and was given NAPROSYN. The patient''s outcome was unknown. No product quality complaint was involved. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283734&WAYBACKHISTORY=ON


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