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This is VAERS ID 283933

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283933
VAERS Form:
Age:24.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-08
Onset:2007-05-10
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Nausea, Pyrexia, Injection site swelling

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: Sulfonamide allergy; drug hypersensitivity; adhesive tape allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02192

Write-up:Initial and follow up information has been received from a registered nurse concerning a Caucasian 24 year old female student with sulfonamide allergy, drug hypersensitivity and surgical tape allergy who on 08-MAY-2007 at PM was vaccinated IM in the right deltoid with her second dose of Gardasil (Lot #657617/0384U). On 10-MAY-2007 at AM the patient experienced pain and developed swelling at the injection site, patient also had a fever and felt nauseous after receiving Gardasil. The nurse recommended TYLENOL and BENADRYL and to use an ice pack at the injection site. In follow up it was reported that on 10-MAY-2007 at AM the patient also developed redness at the injection site and took BENADRYL and TYLENOL and ice to the injection site. On 11-MAY-2007 it was reported that the patient''s condition improved. Additional information is not expected.


Changed on 9/14/2017

283933 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-08
Onset:2007-05-10
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Nausea, Pyrexia, Injection site swelling

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: Sulfonamide allergy; drug hypersensitivity; adhesive tape allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02192

Write-up:Initial and follow up information has been received from a registered nurse concerning a Caucasian 24 year old female student with sulfonamide allergy, drug hypersensitivity and surgical tape allergy who on 08-MAY-2007 at PM was vaccinated IM in the right deltoid with her second dose of Gardasil (Lot #657617/0384U). On 10-MAY-2007 at AM the patient experienced pain and developed swelling at the injection site, patient also had a fever and felt nauseous after receiving Gardasil. The nurse recommended TYLENOL and BENADRYL and to use an ice pack at the injection site. In follow up it was reported that on 10-MAY-2007 at AM the patient also developed redness at the injection site and took BENADRYL and TYLENOL and ice to the injection site. On 11-MAY-2007 it was reported that the patient''s condition improved. Additional information is not expected.


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