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This is VAERS ID 283807

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 283807
VAERS Form:
Age:
Gender:Female
Location:Michigan
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 / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, Incorrect route of drug administration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': WAES0705USA02034

Write-up: Information has been received from a physician concerning a teenage female who received her first and second doses of Gardasil in the buttocks. Subsequently the patient experienced pain at the site for a unspecified duration. Subsequently, the patient recovered from pain. Unspecified medical attention was sought. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 283807 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Michigan
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 / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, Incorrect route of drug administration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': WAES0705USA02034

Write-up: Information has been received from a physician concerning a teenage female who received her first and second doses of Gardasil in the buttocks. Subsequently the patient experienced pain at the site for a unspecified duration. Subsequently, the patient recovered from pain. Unspecified medical attention was sought. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 283807 Before After
VAERS Form:1
Age:
Gender:Female
Location:Michigan
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. - / 3 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, Incorrect route of drug administration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': WAES0705USA02034

Write-up: Information has been received from a physician concerning a teenage female who received her first and second doses of Gardasil in the buttocks. Subsequently the patient experienced pain at the site for a unspecified duration. Subsequently, the patient recovered from pain. Unspecified medical attention was sought. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 283807 Before After
VAERS Form:1
Age:
Gender:Female
Location:Michigan
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. - / 3 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, Incorrect route of drug administration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': WAES0705USA02034

Write-up: Information has been received from a physician concerning a teenage female who received her first and second doses of Gardasil in the buttocks. Subsequently the patient experienced pain at the site for a unspecified duration. Subsequently, the patient recovered from pain. Unspecified medical attention was sought. Additional information has been requested.

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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283807&WAYBACKHISTORY=ON


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