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This is VAERS ID 284469

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

284469
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
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: Unknown      Purchased by: Unknown
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: None
CDC 'Split Type': WAES0705USA04348

Write-up:Information has been received from a registered nurse concerning a 19 year old female who in December 2006, was vaccinated with her second dose of Gardasil. Subsequently the patient experienced pain at the injection site for 1 week after her vaccination. There was no treatment required. Subsequently, the patient recovered. Additional information has been requested.


Changed on 3/2/2010

284469 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00 2006-12-01
Onset:0000-00-00 2006-12-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
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: None
CDC 'Split Type': WAES0705USA04348

Write-up:This is in follow-up report(s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 19 year old female who in December 2006, was vaccinated with her second dose of Gardasil. Gardasil (lot number unknown). Subsequently the patient experienced pain at the injection site for 1 week after her vaccination. There was no treatment required. Subsequently, the patient recovered. Additional information has been requested. No further information was available.


Changed on 6/14/2014

284469 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
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: None
CDC 'Split Type': WAES0705USA04348

Write-up:This is in follow-up report(s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 19 year old female who in December 2006, was vaccinated with her second dose of Gardasil (lot number unknown). Subsequently the patient experienced pain at the injection site for 1 week after her vaccination. There was no treatment required. Subsequently, the patient recovered. Additional information has been requested. No further information was available.


Changed on 5/14/2017

284469 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
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: None
CDC 'Split Type': WAES0705USA04348

Write-up:This is in follow-up report(s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 19 year old female who in December 2006, was vaccinated with her second dose of Gardasil (lot number unknown). Subsequently the patient experienced pain at the injection site for 1 week after her vaccination. There was no treatment required. Subsequently, the patient recovered. Additional information has been requested. No further information was available.


Changed on 9/14/2017

284469 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / UN

Administered by: Unknown      Purchased by: Unknown
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: None
CDC 'Split Type': WAES0705USA04348

Write-up:This is in follow-up report(s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 19 year old female who in December 2006, was vaccinated with her second dose of Gardasil (lot number unknown). Subsequently the patient experienced pain at the injection site for 1 week after her vaccination. There was no treatment required. Subsequently, the patient recovered. Additional information has been requested. No further information was available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284469&WAYBACKHISTORY=ON


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