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This is VAERS ID 283964

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283964
VAERS Form:
Age:
Gender:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain

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': WAES0705USA02899

Write-up:Information has been received from a physician concerning a female who was vaccinated with Gardasil. Subsequently the patient''s arm was sore at the injection site. The patient recovered after one month. Additional information has been requested.


Changed on 3/2/2010

283964 Before After
VAERS Form:
Age:
Gender:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14 2007-07-06
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain

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': WAES0705USA02899

Write-up:Information has been received from a physician concerning a female who was vaccinated with Gardasil. GARDASIL vacine (yeast)l. Subsequently the patient''s arm was sore at the injection site. The patient recovered after one month. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been eceived from a physician concerning a female who on an unspecified date was vaccinated intramuscularly with GARDASIL vaccine (yeast). The reporting physician was told by a family physician that one of his patients who he vaccinated with GARDASIl vaccine (yeast) subsequently deveolped arm swelling and was sore at the injection site for approximately 10 days post vaccination. The patient recovered after one month.No additional information is expected.


Changed on 4/7/2010

283964 Before After
VAERS Form:
Age:
Gender:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-06
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02899

Write-up:Information has been received from a physician concerning a female who was vaccinated with GARDASIL vacine (yeast)l. Subsequently the patient''s arm was sore at the injection site. The patient recovered after one month. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been eceived from a physician concerning a female who on an unspecified date was vaccinated intramuscularly with GARDASIL vaccine (yeast). The reporting physician was told by a family physician that one of his patients who he vaccinated with GARDASIl vaccine (yeast) subsequently deveolped arm swelling and was sore at the injection site for approximately 10 days post vaccination. The patient recovered after one month.No additional information is expected.


Changed on 6/14/2014

283964 Before After
VAERS Form:
Age:
Gender:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-06
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02899

Write-up:Information has been received from a physician concerning a female who was vaccinated with GARDASIL vacine (yeast)l. Subsequently the patient''s arm was sore at the injection site. The patient recovered after one month. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been eceived from a physician concerning a female who on an unspecified date was vaccinated intramuscularly with GARDASIL vaccine (yeast). The reporting physician was told by a family physician that one of his patients who he vaccinated with GARDASIl vaccine (yeast) subsequently deveolped arm swelling and was sore at the injection site for approximately 10 days post vaccination. The patient recovered after one month.No additional information is expected.


Changed on 5/14/2017

283964 Before After
VAERS Form:
Age:
Gender:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-06
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02899

Write-up:Information has been received from a physician concerning a female who was vaccinated with GARDASIL vacine (yeast)l. Subsequently the patient''s arm was sore at the injection site. The patient recovered after one month. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been eceived from a physician concerning a female who on an unspecified date was vaccinated intramuscularly with GARDASIL vaccine (yeast). The reporting physician was told by a family physician that one of his patients who he vaccinated with GARDASIl vaccine (yeast) subsequently deveolped arm swelling and was sore at the injection site for approximately 10 days post vaccination. The patient recovered after one month.No additional information is expected.


Changed on 9/14/2017

283964 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-06
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02899

Write-up:Information has been received from a physician concerning a female who was vaccinated with GARDASIL vacine (yeast)l. Subsequently the patient''s arm was sore at the injection site. The patient recovered after one month. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been eceived from a physician concerning a female who on an unspecified date was vaccinated intramuscularly with GARDASIL vaccine (yeast). The reporting physician was told by a family physician that one of his patients who he vaccinated with GARDASIl vaccine (yeast) subsequently deveolped arm swelling and was sore at the injection site for approximately 10 days post vaccination. The patient recovered after one month.No additional information is expected.


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