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This is VAERS ID 284175

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284175
Age:
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. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SEASONALE
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: magnetic resonance 05/??/07 - focal fluid collected along the facial plane deltoid and infraspinatus muscle
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female with drug hypersensitivity to codeine who on 09-MAY-2007 was vaccinated with Gardasil. Concomitant therapy included Seasonale. In May 2007, the patient experienced left shoulder pain. An M"RI showed that there was a focal fluid collected along the facial plane at the deltoid and infraspinatus muscle. The patient was treated with Advil and Aleve. The patient had begun to get some relief on 22-MAY-2007 but the pain had not resolved. No furthe


Changed on 12/8/2009

VAERS ID: 284175 Before After
Age:
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. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SEASONALE
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: magnetic resonance 05/??/07 - focal fluid collected along the facial plane deltoid and infraspinatus muscle
CDC 'Split Type': (blank) WAES0705USA04016

Write-up:Information has been received from a physician concerning a female with drug hypersensitivity to codeine who on 09-MAY-2007 was vaccinated with Gardasil. Concomitant therapy included Seasonale. In May 2007, the patient experienced left shoulder pain. An M"RI MRI showed that there was a focal fluid collected along the facial plane at the deltoid and infraspinatus muscle. The patient was treated with Advil and Aleve. The patient had begun to get some relief on 22-MAY-2007 but the pain had not resolved. No furthe further details were provided. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 284175 Before After
Age:(blank) 23.0
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. - / - 1 - LA / IM

Administered by: Other Private      Purchased by: Other
Symptoms: Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SEASONALE
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: magnetic resonance 05/??/07 - focal fluid collected along the facial plane of deltoid and infraspinatus muscle
CDC 'Split Type': WAES0705USA04016

Write-up:Information has been received from a physician concerning a female with drug hypersensitivity to codeine who on 09-MAY-2007 was vaccinated with Gardasil. Concomitant therapy included Seasonale. In May 2007, the patient experienced left shoulder pain. An MRI showed that there was a focal fluid collected along the facial plane at the deltoid and infraspinatus muscle. The patient was treated with Advil and Aleve. The patient had begun to get some relief on 22-MAY-2007 but the pain had not resolved. No further details were provided. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a physician concerning a 23 year old female with drug hypersensitivity to codeine who on 09-MAY-2007 was vaccinated with a second dose of GARDASIL in the left deltoid. Concomitant therapy included SEASONALE. No illness at the time of the vaccination was specified. On 09-MAY-2007, the patient experienced left shoulder/deltoid pain. On 18-MAY-2007, an MRI showed that there was a focal fluid collected along the facial plane at the deltoid and infraspinatus muscle. The physician reported "that the MRI was reviewed with a radiologist and fluid collection appears to be edema, not blood, not infection/abscess". The patient was treated with ADVIL with no help and ALEVE with little help. The patient had begun to get some relief on 22-MAY-2007 but the pain had not resolved. The patient was to start physical therapy (date unspecified). The physician reported that the event may be related to the patient''s recent GARDASIL. No further details were provided. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 284175 Before After
Age:23.0
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. - / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SEASONALE
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: magnetic resonance 05/??/07 - focal fluid collected along the facial plane of deltoid and infraspinatus muscle
CDC 'Split Type': WAES0705USA04016

Write-up:Information has been received from a physician concerning a female with drug hypersensitivity to codeine who on 09-MAY-2007 was vaccinated with Gardasil. Concomitant therapy included Seasonale. In May 2007, the patient experienced left shoulder pain. An MRI showed that there was a focal fluid collected along the facial plane at the deltoid and infraspinatus muscle. The patient was treated with Advil and Aleve. The patient had begun to get some relief on 22-MAY-2007 but the pain had not resolved. No further details were provided. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a physician concerning a 23 year old female with drug hypersensitivity to codeine who on 09-MAY-2007 was vaccinated with a second dose of GARDASIL in the left deltoid. Concomitant therapy included SEASONALE. No illness at the time of the vaccination was specified. On 09-MAY-2007, the patient experienced left shoulder/deltoid pain. On 18-MAY-2007, an MRI showed that there was a focal fluid collected along the facial plane at the deltoid and infraspinatus muscle. The physician reported "that the MRI was reviewed with a radiologist and fluid collection appears to be edema, not blood, not infection/abscess". The patient was treated with ADVIL with no help and ALEVE with little help. The patient had begun to get some relief on 22-MAY-2007 but the pain had not resolved. The patient was to start physical therapy (date unspecified). The physician reported that the event may be related to the patient''s recent GARDASIL. No further details were provided. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 284175 Before After
Age:23.0
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. - / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Musculoskeletal pain, Nuclear magnetic resonance imaging abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SEASONALE
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: magnetic resonance 05/??/07 - focal fluid collected along the facial plane of deltoid and infraspinatus muscle
CDC 'Split Type': WAES0705USA04016

Write-up:Information has been received from a physician concerning a female with drug hypersensitivity to codeine who on 09-MAY-2007 was vaccinated with Gardasil. Concomitant therapy included Seasonale. In May 2007, the patient experienced left shoulder pain. An MRI showed that there was a focal fluid collected along the facial plane at the deltoid and infraspinatus muscle. The patient was treated with Advil and Aleve. The patient had begun to get some relief on 22-MAY-2007 but the pain had not resolved. No further details were provided. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a physician concerning a 23 year old female with drug hypersensitivity to codeine who on 09-MAY-2007 was vaccinated with a second dose of GARDASIL in the left deltoid. Concomitant therapy included SEASONALE. No illness at the time of the vaccination was specified. On 09-MAY-2007, the patient experienced left shoulder/deltoid pain. On 18-MAY-2007, an MRI showed that there was a focal fluid collected along the facial plane at the deltoid and infraspinatus muscle. The physician reported "that the MRI was reviewed with a radiologist and fluid collection appears to be edema, not blood, not infection/abscess". The patient was treated with ADVIL with no help and ALEVE with little help. The patient had begun to get some relief on 22-MAY-2007 but the pain had not resolved. The patient was to start physical therapy (date unspecified). The physician reported that the event may be related to the patient''s recent GARDASIL. No further details were provided. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284175&WAYBACKHISTORY=ON


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