National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 283775

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 283775
Age:13.0
Gender:Female
Location:Minnesota
Vaccinated:2006-10-03
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 swelling, Vaccine positive rechallenge

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01256

Write-up:Information has been received from a registered nurse concerning a 13 year old female who on 03-OCT-2006 was vaccinated with Gardasil. The nurse reported that the patient had received the first and second doses of Gardasil and experienced swelling of the injection site arm. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 283775 Before After
Age:13.0
Gender:Female
Location:Minnesota
Vaccinated:2006-10-03
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 swelling, Vaccine positive rechallenge

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01256

Write-up:Information has been received from a registered nurse concerning a 13 year old female who on 03-OCT-2006 was vaccinated with Gardasil. a dose of GARDASIL. The nurse reported that the patient had received the first and second doses of Gardasil GARDASIL (the second dose was two months late) and experienced swelling of the injection site arm. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. No product quality complaint was involved. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 283775 Before After
Age:13.0
Gender:Female
Location:Minnesota
Vaccinated:2006-10-03
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 swelling, Vaccine positive rechallenge

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01256

Write-up:Information has been received from a registered nurse concerning a 13 year old female who on 03-OCT-2006 was vaccinated with a dose of GARDASIL. The nurse reported that the patient had received the first and second doses of GARDASIL (the second dose was two months late) and experienced swelling of the injection site arm. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. No product quality complaint was involved. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 283775 Before After
Age:13.0
Gender:Female
Location:Minnesota
Vaccinated:2006-10-03
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 swelling, Vaccine positive rechallenge

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01256

Write-up:Information has been received from a registered nurse concerning a 13 year old female who on 03-OCT-2006 was vaccinated with a dose of GARDASIL. The nurse reported that the patient had received the first and second doses of GARDASIL (the second dose was two months late) and experienced swelling of the injection site arm. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. No product quality complaint was involved. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Additional information is not expected.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283775&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166