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This is VAERS ID 283938

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283938
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-17
Onset:2007-04-25
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
CDC 'Split Type': WAES0705USA02258

Write-up:Information has been received from a physician concerning her 17 year old daughter who on 17-APR-2007 was vaccinated with Gardasil. On 25-APR-2007 the patient experienced pain in her upper right arm. The physician noted there was no redness or swelling in the injection site area. Subsequently, on 29-APR-2007, the patient recovered from pain in her upper right arm. Additional information has been requested.


Changed on 9/14/2017

283938 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-17
Onset:2007-04-25
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
CDC 'Split Type': WAES0705USA02258

Write-up:Information has been received from a physician concerning her 17 year old daughter who on 17-APR-2007 was vaccinated with Gardasil. On 25-APR-2007 the patient experienced pain in her upper right arm. The physician noted there was no redness or swelling in the injection site area. Subsequently, on 29-APR-2007, the patient recovered from pain in her upper right arm. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283938&WAYBACKHISTORY=ON


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