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This is VAERS ID 283745

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283745
VAERS Form:
Age:20.0
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: Injection site pain

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': WAES0705USA00565

Write-up:Information has been received from a licensed practical nurse concerning a female patient in her 20''s who was vaccinated with a dose of Gardasil and experienced mild soreness at the injection site after the vaccination was given. The same source reported that another patient had the same reaction (WAES # 0706USA01310). Additional information has been requested.


Changed on 3/2/2010

283745 Before After
VAERS Form:
Age:20.0
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: Injection site pain

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': WAES0705USA00565

Write-up:Information has been received from a licensed practical nurse concerning a female patient in her 20''s who was vaccinated with a dose of Gardasil and experienced mild soreness at the injection site after the vaccination was given. The same source reported that another patient had the same reaction (WAES # 0706USA01310). Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow-up information has been received from a licensed practical nurse concerning a female patient in her early 20''s who was vaccinated with a dose of GARDASIL and experienced mild soreness at the injection site after the vaccination was given. The same source reported that another patient had the same reaction (WAES # 0706USA01310). Additional information is not expected.


Changed on 6/14/2014

283745 Before After
VAERS Form:
Age:20.0
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: Injection site pain

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': WAES0705USA00565

Write-up:Information has been received from a licensed practical nurse concerning a female patient in her 20''s who was vaccinated with a dose of Gardasil and experienced mild soreness at the injection site after the vaccination was given. The same source reported that another patient had the same reaction (WAES # 0706USA01310). Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow-up information has been received from a licensed practical nurse concerning a female patient in her early 20''s who was vaccinated with a dose of GARDASIL and experienced mild soreness at the injection site after the vaccination was given. The same source reported that another patient had the same reaction (WAES # 0706USA01310). Additional information is not expected.


Changed on 5/14/2017

283745 Before After
VAERS Form:
Age:20.0
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: Injection site pain

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': WAES0705USA00565

Write-up:Information has been received from a licensed practical nurse concerning a female patient in her 20''s who was vaccinated with a dose of Gardasil and experienced mild soreness at the injection site after the vaccination was given. The same source reported that another patient had the same reaction (WAES # 0706USA01310). Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow-up information has been received from a licensed practical nurse concerning a female patient in her early 20''s who was vaccinated with a dose of GARDASIL and experienced mild soreness at the injection site after the vaccination was given. The same source reported that another patient had the same reaction (WAES # 0706USA01310). Additional information is not expected.


Changed on 9/14/2017

283745 Before After
VAERS Form:(blank) 1
Age:20.0
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: Injection site pain

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': WAES0705USA00565

Write-up:Information has been received from a licensed practical nurse concerning a female patient in her 20''s who was vaccinated with a dose of Gardasil and experienced mild soreness at the injection site after the vaccination was given. The same source reported that another patient had the same reaction (WAES # 0706USA01310). Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow-up information has been received from a licensed practical nurse concerning a female patient in her early 20''s who was vaccinated with a dose of GARDASIL and experienced mild soreness at the injection site after the vaccination was given. The same source reported that another patient had the same reaction (WAES # 0706USA01310). Additional information is not expected.


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