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This is VAERS ID 283759

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 283759
VAERS Form:
Age:26.0
Gender:Female
Location:Florida
Vaccinated:2007-04-24
Onset:2007-04-24
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: Pain, Joint range of motion decreased, No reaction on previous exposure to drug

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
CDC 'Split Type': WAES0705USA00910

Write-up: Information has been received from a licensed practical nurse concerning a 26 year old female patient who on 24-APR-2007 was vaccinated with her third dose of Gardasil. On 24-APR-2007 the patient experienced shooting pains in her arm. In addition, she had no range of motion with her arm. She did not have this experience with the first two doses. As of 03-MAY-2007, the patient''s shooting pains in her arm and no range of motion with her arm persisted. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 283759 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Florida
Vaccinated:2007-04-24
Onset:2007-04-24
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: Pain, Joint range of motion decreased, No reaction on previous exposure to drug

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No 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:
CDC 'Split Type': WAES0705USA00910

Write-up: Information has been received from a licensed practical nurse concerning a 26 year old female patient who on 24-APR-2007 was vaccinated with her third dose of Gardasil. On 24-APR-2007 the patient experienced shooting pains in her arm. In addition, she had no range of motion with her arm. She did not have this experience with the first two doses. As of 03-MAY-2007, the patient''s shooting pains in her arm and no range of motion with her arm persisted. Additional information has been requested. 07/06/07 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 26 year old female who on 24-APR-2007 was vaccinated with her third dose of GARDASIL. On 24-APR-2007 the patient experienced shooting pains in her arm. In addition, she had no range of motion with her arm. She did not have this experience with the first two doses. As of 03-MAY-2007, the patient''s shooting pains in her arm and no range of motion with her arm persisted. Patient did not come in for her evaluation. The licensed practical nurse presumed the problem had resolved. Additional information not expected.


Changed on 6/14/2014

VAERS ID: 283759 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Florida
Vaccinated:2007-04-24
Onset:2007-04-24
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: Pain, Joint range of motion decreased, No reaction on previous exposure to drug

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:
CDC 'Split Type': WAES0705USA00910

Write-up: Information has been received from a licensed practical nurse concerning a 26 year old female patient who on 24-APR-2007 was vaccinated with her third dose of Gardasil. On 24-APR-2007 the patient experienced shooting pains in her arm. In addition, she had no range of motion with her arm. She did not have this experience with the first two doses. As of 03-MAY-2007, the patient''s shooting pains in her arm and no range of motion with her arm persisted. Additional information has been requested. 07/06/07 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 26 year old female who on 24-APR-2007 was vaccinated with her third dose of GARDASIL. On 24-APR-2007 the patient experienced shooting pains in her arm. In addition, she had no range of motion with her arm. She did not have this experience with the first two doses. As of 03-MAY-2007, the patient''s shooting pains in her arm and no range of motion with her arm persisted. Patient did not come in for her evaluation. The licensed practical nurse presumed the problem had resolved. Additional information not expected.


Changed on 5/14/2017

VAERS ID: 283759 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Florida
Vaccinated:2007-04-24
Onset:2007-04-24
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: Pain, Joint range of motion decreased, No reaction on previous exposure to drug

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:
CDC 'Split Type': WAES0705USA00910

Write-up: Information has been received from a licensed practical nurse concerning a 26 year old female patient who on 24-APR-2007 was vaccinated with her third dose of Gardasil. On 24-APR-2007 the patient experienced shooting pains in her arm. In addition, she had no range of motion with her arm. She did not have this experience with the first two doses. As of 03-MAY-2007, the patient''s shooting pains in her arm and no range of motion with her arm persisted. Additional information has been requested. 07/06/07 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 26 year old female who on 24-APR-2007 was vaccinated with her third dose of GARDASIL. On 24-APR-2007 the patient experienced shooting pains in her arm. In addition, she had no range of motion with her arm. She did not have this experience with the first two doses. As of 03-MAY-2007, the patient''s shooting pains in her arm and no range of motion with her arm persisted. Patient did not come in for her evaluation. The licensed practical nurse presumed the problem had resolved. Additional information not expected.


Changed on 9/14/2017

VAERS ID: 283759 Before After
VAERS Form:(blank) 1
Age:26.0
Gender:Female
Location:Florida
Vaccinated:2007-04-24
Onset:2007-04-24
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: Pain, Joint range of motion decreased, No reaction on previous exposure to drug

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:
CDC 'Split Type': WAES0705USA00910

Write-up: Information has been received from a licensed practical nurse concerning a 26 year old female patient who on 24-APR-2007 was vaccinated with her third dose of Gardasil. On 24-APR-2007 the patient experienced shooting pains in her arm. In addition, she had no range of motion with her arm. She did not have this experience with the first two doses. As of 03-MAY-2007, the patient''s shooting pains in her arm and no range of motion with her arm persisted. Additional information has been requested. 07/06/07 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 26 year old female who on 24-APR-2007 was vaccinated with her third dose of GARDASIL. On 24-APR-2007 the patient experienced shooting pains in her arm. In addition, she had no range of motion with her arm. She did not have this experience with the first two doses. As of 03-MAY-2007, the patient''s shooting pains in her arm and no range of motion with her arm persisted. Patient did not come in for her evaluation. The licensed practical nurse presumed the problem had resolved. Additional information not expected.


Changed on 2/14/2018

VAERS ID: 283759 Before After
VAERS Form:1
Age:26.0
Gender:Female
Location:Florida
Vaccinated:2007-04-24
Onset:2007-04-24
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Pain, Joint range of motion decreased, No reaction on previous exposure to drug

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:
CDC 'Split Type': WAES0705USA00910

Write-up: Information has been received from a licensed practical nurse concerning a 26 year old female patient who on 24-APR-2007 was vaccinated with her third dose of Gardasil. On 24-APR-2007 the patient experienced shooting pains in her arm. In addition, she had no range of motion with her arm. She did not have this experience with the first two doses. As of 03-MAY-2007, the patient''s shooting pains in her arm and no range of motion with her arm persisted. Additional information has been requested. 07/06/07 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 26 year old female who on 24-APR-2007 was vaccinated with her third dose of GARDASIL. On 24-APR-2007 the patient experienced shooting pains in her arm. In addition, she had no range of motion with her arm. She did not have this experience with the first two doses. As of 03-MAY-2007, the patient''s shooting pains in her arm and no range of motion with her arm persisted. Patient did not come in for her evaluation. The licensed practical nurse presumed the problem had resolved. Additional information not expected.


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