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This is VAERS ID 283813

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283813
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-01
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Injection site erythema

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': WAES0705USA02075

Write-up:Information has been received from a licensed visiting nurse concerning a 17 year old female who in February 2007 was vaccinated with the first dose of Gardasil. A second dose of Gardasil was received on an unspecified date. Concomitant medication was not reported. In 2007, the patient experienced injection site redness. The patient sought unspecified medical attention. The outcome of the event was not reported. Additional information has been requested.


Changed on 9/14/2017

283813 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-01
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Injection site erythema

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': WAES0705USA02075

Write-up:Information has been received from a licensed visiting nurse concerning a 17 year old female who in February 2007 was vaccinated with the first dose of Gardasil. A second dose of Gardasil was received on an unspecified date. Concomitant medication was not reported. In 2007, the patient experienced injection site redness. The patient sought unspecified medical attention. The outcome of the event was not reported. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283813&WAYBACKHISTORY=ON


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