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This is VAERS ID 283739

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283739
VAERS Form:
Age:
Gender:Female
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: Local reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': WAES0705USA00504

Write-up:Information has been received from a nurse practitioner, via a company representative, concerning a female patient who was vaccinated (date unspecified) with a dose, 0.5ml, of Gardasil. Subsequently the patient "developed a localized reaction after getting (Gardasil)." At the time of this report, the patient had recovered from the reaction. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 9/14/2017

283739 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
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: Local reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': WAES0705USA00504

Write-up:Information has been received from a nurse practitioner, via a company representative, concerning a female patient who was vaccinated (date unspecified) with a dose, 0.5ml, of Gardasil. Subsequently the patient "developed a localized reaction after getting (Gardasil)." At the time of this report, the patient had recovered from the reaction. The patient sought unspecified medical attention. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283739&WAYBACKHISTORY=ON


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