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This is VAERS ID 283761

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 283761
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 / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA00962

Write-up:Information has been received from a physician concerning a female patient who was vaccinated with Gardasil. Subsequently the patient experienced severe swelling and redness at the injection site. Subsequently, the patient recovered. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 283761 Before After
Age:(blank) 26.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00 2007-01-31
Onset:0000-00-00 2007-01-31
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 654540/1162F / - 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA00962

Write-up:Information has been received from a physician concerning a female patient who was vaccinated with Gardasil. Subsequently the patient experienced severe swelling and redness at the injection site. Subsequently, the patient recovered. Additional information has been requested. 03/18/2010 follow up - OEDEMA PERIPHERAL; ERYTHEMA; HYPERSENSITIVITY; SKIN WARM; PAIN IN EXTREMITY; INJECTION SITE BRUISING This is in follow-up to report (s) previously submitted on 06/14/2007 Initial and follow-up information has been received from a physician concerning a 26 year old white female with no pertinent medical history who on 31-JAN-2007 was vaccinated with a first dose of HPV rL1 6 11 18 VLP vaccine (yeast) (lot# 654540/1162P) Concomitant therapy included ethinyl estradiol/norgestimate (ORTHO TRI-CYCLES). On 31-Jan-2007. Immediately after the vaccination, the patient developed a severe allergic reaction with erythema. Severe swelling and warmth of the left arm and bruising at the injection site. There was no dyspnea, wheezing or throat swelling. Ice was applied to the patient''s arm. The patient recovered from severe allergic reaction with erythema, severe swelling and warmth of the left arm and bruising at the injection site. It was reported that the patient''s arm remained sore for approximately 1 week. The second dose of HPV ILI 6 11 16 18 VLP vaccine (yeast) was not given. No further information is available.


Changed on 4/7/2010

VAERS ID: 283761 Before After
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-31
Onset:2007-01-31
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 654540/1162F / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Erythema, Hypersensitivity, Injection site erythema, Injection site haematoma, Oedema peripheral, Pain in extremity, Skin warm, Injection site swelling, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA00962

Write-up:Information has been received from a physician concerning a female patient who was vaccinated with Gardasil. Subsequently the patient experienced severe swelling and redness at the injection site. Subsequently, the patient recovered. Additional information has been requested. 03/18/2010 follow up - OEDEMA PERIPHERAL; ERYTHEMA; HYPERSENSITIVITY; SKIN WARM; PAIN IN EXTREMITY; INJECTION SITE BRUISING This is in follow-up to report (s) previously submitted on 06/14/2007 Initial and follow-up information has been received from a physician concerning a 26 year old white female with no pertinent medical history who on 31-JAN-2007 was vaccinated with a first dose of HPV rL1 6 11 18 VLP vaccine (yeast) (lot# 654540/1162P) Concomitant therapy included ethinyl estradiol/norgestimate (ORTHO TRI-CYCLES). On 31-Jan-2007. Immediately after the vaccination, the patient developed a severe allergic reaction with erythema. Severe swelling and warmth of the left arm and bruising at the injection site. There was no dyspnea, wheezing or throat swelling. Ice was applied to the patient''s arm. The patient recovered from severe allergic reaction with erythema, severe swelling and warmth of the left arm and bruising at the injection site. It was reported that the patient''s arm remained sore for approximately 1 week. The second dose of HPV ILI 6 11 16 18 VLP vaccine (yeast) was not given. No further information is available.


Changed on 6/14/2014

VAERS ID: 283761 Before After
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-31
Onset:2007-01-31
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 654540/1162F / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Erythema, Hypersensitivity, Injection site erythema, Injection site haematoma, Oedema peripheral, Pain in extremity, Skin warm, Injection site swelling, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA00962

Write-up:Information has been received from a physician concerning a female patient who was vaccinated with Gardasil. Subsequently the patient experienced severe swelling and redness at the injection site. Subsequently, the patient recovered. Additional information has been requested. 03/18/2010 follow up - OEDEMA PERIPHERAL; ERYTHEMA; HYPERSENSITIVITY; SKIN WARM; PAIN IN EXTREMITY; INJECTION SITE BRUISING This is in follow-up to report (s) previously submitted on 06/14/2007 Initial and follow-up information has been received from a physician concerning a 26 year old white female with no pertinent medical history who on 31-JAN-2007 was vaccinated with a first dose of HPV rL1 6 11 18 VLP vaccine (yeast) (lot# 654540/1162P) Concomitant therapy included ethinyl estradiol/norgestimate (ORTHO TRI-CYCLES). On 31-Jan-2007. Immediately after the vaccination, the patient developed a severe allergic reaction with erythema. Severe swelling and warmth of the left arm and bruising at the injection site. There was no dyspnea, wheezing or throat swelling. Ice was applied to the patient''s arm. The patient recovered from severe allergic reaction with erythema, severe swelling and warmth of the left arm and bruising at the injection site. It was reported that the patient''s arm remained sore for approximately 1 week. The second dose of HPV ILI 6 11 16 18 VLP vaccine (yeast) was not given. No further information is available.


Changed on 5/14/2017

VAERS ID: 283761 Before After
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-31
Onset:2007-01-31
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 654540/1162F / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Erythema, Hypersensitivity, Injection site erythema, Injection site haematoma, Oedema peripheral, Pain in extremity, Skin warm, Injection site swelling, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA00962

Write-up:Information has been received from a physician concerning a female patient who was vaccinated with Gardasil. Subsequently the patient experienced severe swelling and redness at the injection site. Subsequently, the patient recovered. Additional information has been requested. 03/18/2010 follow up - OEDEMA PERIPHERAL; ERYTHEMA; HYPERSENSITIVITY; SKIN WARM; PAIN IN EXTREMITY; INJECTION SITE BRUISING This is in follow-up to report (s) previously submitted on 06/14/2007 Initial and follow-up information has been received from a physician concerning a 26 year old white female with no pertinent medical history who on 31-JAN-2007 was vaccinated with a first dose of HPV rL1 6 11 18 VLP vaccine (yeast) (lot# 654540/1162P) Concomitant therapy included ethinyl estradiol/norgestimate (ORTHO TRI-CYCLES). On 31-Jan-2007. Immediately after the vaccination, the patient developed a severe allergic reaction with erythema. Severe swelling and warmth of the left arm and bruising at the injection site. There was no dyspnea, wheezing or throat swelling. Ice was applied to the patient''s arm. The patient recovered from severe allergic reaction with erythema, severe swelling and warmth of the left arm and bruising at the injection site. It was reported that the patient''s arm remained sore for approximately 1 week. The second dose of HPV ILI 6 11 16 18 VLP vaccine (yeast) was not given. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283761&WAYBACKHISTORY=ON


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