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This is VAERS ID 283742

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283742
VAERS Form:
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-08
Onset:2007-02-08
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site irritation, Injection site pain, Injected limb mobility decreased

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': WAES0705USA00538

Write-up:Information has been received for a physician''s "office staff" concerning a 26 year old female who on 08-FEB-2007 was vaccinated with a 0.5 ml dose of Gardasil (lot 654702/0011U). On 08-FEB-2007 the patient experienced burning and pain in the arm and the injection site, so much so that she could not move her arm. The patient sought unspecified medical attention. Subsequently, the patient recovered from burning and pain in arm an injection site so much so she could not move her arm. Additional information has been requested.


Changed on 9/14/2017

283742 Before After
VAERS Form:(blank) 1
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-08
Onset:2007-02-08
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / - UNK UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site irritation, Injection site pain, Injected limb mobility decreased

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': WAES0705USA00538

Write-up:Information has been received for a physician''s "office staff" concerning a 26 year old female who on 08-FEB-2007 was vaccinated with a 0.5 ml dose of Gardasil (lot 654702/0011U). On 08-FEB-2007 the patient experienced burning and pain in the arm and the injection site, so much so that she could not move her arm. The patient sought unspecified medical attention. Subsequently, the patient recovered from burning and pain in arm an injection site so much so she could not move her arm. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283742&WAYBACKHISTORY=ON


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