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This is VAERS ID 283764

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 283764
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-26
Onset:2007-01-26
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Paraesthesia, Limb immobilisation, Vaccine positive rechallenge

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': WAES0705USA01053

Write-up:Information has been received from a nurse practitioner concerning a 24 year old white female who on 26-JAN-2007 at 1:45 PM was vaccinated IM in the deltoid with the first dose of Gardasil (lot # 653736/0014U). On 26-JAN-2007, at 1:45 PM, during the first injection, the patient complained of tingling and dead arm. It lasted only a short time and was better the same day. On 04-APR-2007 at 10:00 AM, the patient was vaccinated IM in the deltoid with the second dose of Gardasil (lot # 657617/0384U). On 04-APR-2007, at approximately 10:00 AM, with the second injection, the patient experienced the same exact complaints. The patient recovered on the same day. No further information is available.


Changed on 2/5/2010

VAERS ID: 283764 Before After
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-26
Onset:2007-01-26
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Paraesthesia, Limb immobilisation, Vaccine positive rechallenge

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': WAES0705USA01053

Write-up:Information has been received from a nurse practitioner concerning a 24 year old white female who on 26-JAN-2007 at 1:45 PM was vaccinated IM in the deltoid with the first dose of Gardasil (lot # 653736/0014U). On 26-JAN-2007, at 1:45 PM, during the first injection, the patient complained of tingling and dead arm. It lasted only a short time and was better the same day. On 04-APR-2007 at 10:00 AM, the patient was vaccinated IM in the deltoid with the second dose of Gardasil (lot # 657617/0384U). On 04-APR-2007, at approximately 10:00 AM, with the second injection, the patient experienced the same exact complaints. The patient recovered on the same day. No further information is available. The patient recovered on the same day. It was reported that the "patent was fine when she got home". This is a consolidation of two reports concerning the same patient. No further information is available. Follow-up information indicated that WAES#0705USA00161 is a duplicate of WAES # 0705USA01053. Therefore, WAES # 0705USA0016 is being deleted from our files and the reports consolidated into WAES 0705uSA01053.


Changed on 6/14/2014

VAERS ID: 283764 Before After
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-26
Onset:2007-01-26
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Paraesthesia, Limb immobilisation, Vaccine positive rechallenge

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': WAES0705USA01053

Write-up:Information has been received from a nurse practitioner concerning a 24 year old white female who on 26-JAN-2007 at 1:45 PM was vaccinated IM in the deltoid with the first dose of Gardasil (lot # 653736/0014U). On 26-JAN-2007, at 1:45 PM, during the first injection, the patient complained of tingling and dead arm. It lasted only a short time and was better the same day. On 04-APR-2007 at 10:00 AM, the patient was vaccinated IM in the deltoid with the second dose of Gardasil (lot # 657617/0384U). On 04-APR-2007, at approximately 10:00 AM, with the second injection, the patient experienced the same exact complaints. The patient recovered on the same day. No further information is available. The patient recovered on the same day. It was reported that the "patent was fine when she got home". This is a consolidation of two reports concerning the same patient. No further information is available. Follow-up information indicated that WAES#0705USA00161 is a duplicate of WAES # 0705USA01053. Therefore, WAES # 0705USA0016 is being deleted from our files and the reports consolidated into WAES 0705uSA01053.


Changed on 5/14/2017

VAERS ID: 283764 Before After
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-26
Onset:2007-01-26
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Paraesthesia, Limb immobilisation, Vaccine positive rechallenge

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': WAES0705USA01053

Write-up:Information has been received from a nurse practitioner concerning a 24 year old white female who on 26-JAN-2007 at 1:45 PM was vaccinated IM in the deltoid with the first dose of Gardasil (lot # 653736/0014U). On 26-JAN-2007, at 1:45 PM, during the first injection, the patient complained of tingling and dead arm. It lasted only a short time and was better the same day. On 04-APR-2007 at 10:00 AM, the patient was vaccinated IM in the deltoid with the second dose of Gardasil (lot # 657617/0384U). On 04-APR-2007, at approximately 10:00 AM, with the second injection, the patient experienced the same exact complaints. The patient recovered on the same day. No further information is available. The patient recovered on the same day. It was reported that the "patent was fine when she got home". This is a consolidation of two reports concerning the same patient. No further information is available. Follow-up information indicated that WAES#0705USA00161 is a duplicate of WAES # 0705USA01053. Therefore, WAES # 0705USA0016 is being deleted from our files and the reports consolidated into WAES 0705uSA01053.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283764&WAYBACKHISTORY=ON


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