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This is VAERS ID 283943

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283943
VAERS Form:
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-09
Onset:2007-05-09
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / - UN / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Medication error, Pain in extremity, Incorrect route of drug administration

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: cough, cold, and flu therapies
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA02386

Write-up:Information has been received concerning a 26 year old female nursing student who on 09-MAY-2007 vaccinated herself with Gardasil (LOT#654741/1208P) which was exposed to room temperatures for about 4 hours, subcutaneously in her left arm. Concomitant therapy included cough, cold, and flu therapies (unspecified). On 09-MAY-2007 the patient''s left arm hurt. The patient''s experience persisted. Additional information is not expected.


Changed on 9/14/2017

283943 Before After
VAERS Form:(blank) 1
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-09
Onset:2007-05-09
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / - UNK UN / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Medication error, Pain in extremity, Incorrect route of drug administration

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: cough, cold, and flu therapies
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA02386

Write-up:Information has been received concerning a 26 year old female nursing student who on 09-MAY-2007 vaccinated herself with Gardasil (LOT#654741/1208P) which was exposed to room temperatures for about 4 hours, subcutaneously in her left arm. Concomitant therapy included cough, cold, and flu therapies (unspecified). On 09-MAY-2007 the patient''s left arm hurt. The patient''s experience persisted. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283943&WAYBACKHISTORY=ON


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