National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 283984

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 283984
Age:16.0
Gender:Female
Location:New Jersey
Vaccinated:2007-05-15
Onset:2007-05-15
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PENTASA
Current Illness: Crohn''s disease
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03112

Write-up:Initial and follow-up information has been received from a health professional concerning a 16 year old female with Crohn''s disease who on 15-MAY-2007 was vaccinated in the right deltoid with Gardasil (lot # 657622/0388U). Concomitant therapy included PENTASA. The nurse reported that following vaccination, the patient developed a large, red, swollen, warm and painful area one inch below the injection site. The area was about 10 centimeters wide. The patient was given BENADRYL. The area had improved slightly since BENADRYL was started. At the time of the report, the patient had not recovered. The nurse also reported the experience of other patients with Gardasil (WAES #0705USA03739). Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 283984 Before After
Age:16.0
Gender:Female
Location:New Jersey
Vaccinated:2007-05-15
Onset:2007-05-15
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PENTASA
Current Illness: Crohn''s disease
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03112

Write-up:Initial and follow-up information has been received from a health professional concerning a 16 year old female with Crohn''s disease who on 15-MAY-2007 was vaccinated in the right deltoid with Gardasil (lot # 657622/0388U). Concomitant therapy included PENTASA. The nurse reported that following vaccination, the patient developed a large, red, swollen, warm and painful area one inch below the injection site. The area was about 10 centimeters wide. The patient was given BENADRYL. The area had improved slightly since BENADRYL was started. At the time of the report, the patient had not recovered. The nurse also reported the experience of other patients with Gardasil (WAES #0705USA03739). Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 283984 Before After
Age:16.0
Gender:Female
Location:New Jersey
Vaccinated:2007-05-15
Onset:2007-05-15
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Erythema, Oedema peripheral, Pain in extremity, Skin warm

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PENTASA
Current Illness: Crohn''s disease
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03112

Write-up:Initial and follow-up information has been received from a health professional concerning a 16 year old female with Crohn''s disease who on 15-MAY-2007 was vaccinated in the right deltoid with Gardasil (lot # 657622/0388U). Concomitant therapy included PENTASA. The nurse reported that following vaccination, the patient developed a large, red, swollen, warm and painful area one inch below the injection site. The area was about 10 centimeters wide. The patient was given BENADRYL. The area had improved slightly since BENADRYL was started. At the time of the report, the patient had not recovered. The nurse also reported the experience of other patients with Gardasil (WAES #0705USA03739). Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283984&WAYBACKHISTORY=ON


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