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This is VAERS ID 283753

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283753
VAERS Form:
Age:15.0
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. - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0705USA00727

Write-up:Information has been received from a health professional, via a company representative, concerning the health professional''s 15 year old daughter, who was vaccinated with the first dose (date unspecified), the second dose (date unspecified) and the third dose (date unspecified) of Gardasil. The mother stated that her daughter had arm soreness in the area of the injection site following each vaccination; the arm soreness lasted for approximately one week and then resolved. It was unknown if the patient sought medical attention. No further information is expected.


Changed on 9/14/2017

283753 Before After
VAERS Form:(blank) 1
Age:15.0
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. - / 2 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0705USA00727

Write-up:Information has been received from a health professional, via a company representative, concerning the health professional''s 15 year old daughter, who was vaccinated with the first dose (date unspecified), the second dose (date unspecified) and the third dose (date unspecified) of Gardasil. The mother stated that her daughter had arm soreness in the area of the injection site following each vaccination; the arm soreness lasted for approximately one week and then resolved. It was unknown if the patient sought medical attention. No further information is expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283753&WAYBACKHISTORY=ON


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