National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 283952

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283952
VAERS Form:
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-05-08
Onset:2007-05-08
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 UN / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Erythema, Oedema peripheral

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:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02661

Write-up:Information has been received from a health professional concerning a female who on 08-MAY-2007 was vaccinated IM 0.5mL first dose with Gardasil (lot# 657006/0188U). Concomitant therapy included Varivax (MSD). Subsequently the patient experienced swollen arm and arm redness after the Gardasil injection. Subsequently, the patient recovered from swollen arm and arm redness. The patient sought unspecified medial attention. Additional information has been requested.


Changed on 3/2/2010

283952 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-05-08
Onset:2007-05-08
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 UN / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - 0169U / - 1 UN / UN SC

Administered by: Unknown Private      Purchased by: Unknown Private
Symptoms: Erythema, Oedema peripheral

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:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02661

Write-up:Information has been received from a health professional concerning a female who on 08-MAY-2007 was vaccinated IM 0.5mL first dose with Gardasil GARDASIL vaccine (yeast) (lot# 657006/0188U). Concomitant therapy included Varivax VARIVAX (MSD). Subsequently the patient experienced swollen arm and arm redness after the Gardasil injection. Subsequently, the patient recovered from swollen arm and arm redness. The patient sought unspecified medial attention. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow up information has been received from s health professional concerning a female student who on 08-MAY-2007, in AM was vaccinated IM 0.5ml first dose with GARDASIL vaccine (yeast) (lot# 657006/0188U). Concomitant suspect therapy included one dose of VARIVAX (lot# 656078/0169U. Other concomitant therapy included MENACTRA vaccine . The patient experienced swollen arm and arm redness after the GARDASIL vaccine (yeast) injection. Subsequently , the patient recovered from swollen arm and arm redness. The patient sought unspecified medical attention. In follow up it was reported that on 08-MAY-2007, "patient said that her arns hurt" and then redness, swelling appaered on 09-MAY-2007 and redness was approximately quarter size. The patient recovered. Additional information is not expected.


Changed on 4/7/2010

283952 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-05-08
Onset:2007-05-08
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 UN / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0169U / 1 UN / SC

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Oedema peripheral, 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:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02661

Write-up:Information has been received from a health professional concerning a female who on 08-MAY-2007 was vaccinated IM 0.5mL first dose with GARDASIL vaccine (yeast) (lot# 657006/0188U). Concomitant therapy included VARIVAX (MSD). Subsequently the patient experienced swollen arm and arm redness after the Gardasil injection. Subsequently, the patient recovered from swollen arm and arm redness. The patient sought unspecified medial attention. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow up information has been received from s health professional concerning a female student who on 08-MAY-2007, in AM was vaccinated IM 0.5ml first dose with GARDASIL vaccine (yeast) (lot# 657006/0188U). Concomitant suspect therapy included one dose of VARIVAX (lot# 656078/0169U. Other concomitant therapy included MENACTRA vaccine . The patient experienced swollen arm and arm redness after the GARDASIL vaccine (yeast) injection. Subsequently , the patient recovered from swollen arm and arm redness. The patient sought unspecified medical attention. In follow up it was reported that on 08-MAY-2007, "patient said that her arns hurt" and then redness, swelling appaered on 09-MAY-2007 and redness was approximately quarter size. The patient recovered. Additional information is not expected.


Changed on 9/14/2017

283952 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-05-08
Onset:2007-05-08
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 1 UN / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0169U / 1 2 UN / SC

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Oedema peripheral, 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:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02661

Write-up:Information has been received from a health professional concerning a female who on 08-MAY-2007 was vaccinated IM 0.5mL first dose with GARDASIL vaccine (yeast) (lot# 657006/0188U). Concomitant therapy included VARIVAX (MSD). Subsequently the patient experienced swollen arm and arm redness after the Gardasil injection. Subsequently, the patient recovered from swollen arm and arm redness. The patient sought unspecified medial attention. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow up information has been received from s health professional concerning a female student who on 08-MAY-2007, in AM was vaccinated IM 0.5ml first dose with GARDASIL vaccine (yeast) (lot# 657006/0188U). Concomitant suspect therapy included one dose of VARIVAX (lot# 656078/0169U. Other concomitant therapy included MENACTRA vaccine . The patient experienced swollen arm and arm redness after the GARDASIL vaccine (yeast) injection. Subsequently , the patient recovered from swollen arm and arm redness. The patient sought unspecified medical attention. In follow up it was reported that on 08-MAY-2007, "patient said that her arns hurt" and then redness, swelling appaered on 09-MAY-2007 and redness was approximately quarter size. The patient recovered. Additional information is not expected.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283952&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166