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This is VAERS ID 284496

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284496
VAERS Form:
Age:18.0
Gender:Female
Location:Virginia
Vaccinated:2007-05-25
Onset:2007-05-25
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0212U / 1 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a health professional concerning an 18 year old female patient with an allergy to morphine who on 25-MAY-2007 was vaccinated with a second dose of Gardasil (lot # 0212U). That same day, the patient experienced tingling o"f her right and left fingers, hands, lips, bridge of her nose and eyelids which resolved after an hour. The patient sought unspecified medical attention. No further information is available. Additional information has been requested.


Changed on 12/8/2009

284496 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Virginia
Vaccinated:2007-05-25
Onset:2007-05-25
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0212U / 1 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0705USA05188

Write-up:Information has been received from a health professional concerning an 18 year old female patient with an allergy to morphine who on 25-MAY-2007 was vaccinated with a second dose of Gardasil (lot # 0212U). That same day, the patient experienced tingling o"f of her right and left fingers, hands, lips, bridge of her nose and eyelids which resolved after an hour. The patient sought unspecified medical attention. No further information is available. Additional information has been requested.


Changed on 3/2/2010

284496 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Virginia
Vaccinated:2007-05-25
Onset:2007-05-25
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0212U / 1 - UN / IM

Administered by: Other Private      Purchased by: Other
Symptoms: Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Drug hypersensitivity hypersensitivity; Convulsion disorder; Graves disease; Bipolar disorder; Anxiety
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA05188

Write-up:Information This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow-up information has been received from a health professional and a physician concerning an 18 year old female patient with an allergy drug hypersensitivity to morphine morphine, convulsion disorder, graves disase, bipolar disorder and anxiety who on 25-MAY-2007 at 7:30 am was vaccinated in left arm with a second dose of Gardasil GARDASIL (lot # 0212U). That same day, One hour after the injection the patient experienced tingling of her right and left fingers, hands, lips, lips and bridge of her nose and eyelids which resolved after an hour. The eyelids, left arm sorness, and headache. On 25-MAY-2007, the patient recovered from tingling of her right and left fingers, hands, lips, and bridge of her nose and eyelids, left arm sorness and headache.The patient sought unspecified medical attention. No further information is available. Additional information has been requested. is not expected.


Changed on 4/7/2010

284496 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Virginia
Vaccinated:2007-05-25
Onset:2007-05-25
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0212U / 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Headache, Pain in extremity, Paraesthesia, Paraesthesia oral

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Drug hypersensitivity; Convulsion disorder; Graves disease; Bipolar disorder; Anxiety
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA05188

Write-up:This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow-up information has been received from a health professional and a physician concerning an 18 year old female patient with drug hypersensitivity to morphine, convulsion disorder, graves disase, bipolar disorder and anxiety who on 25-MAY-2007 at 7:30 am was vaccinated in left arm with a second dose of GARDASIL (lot # 0212U). One hour after the injection the patient experienced tingling of her right and left fingers, hands, lips and bridge of her nose and eyelids, left arm sorness, and headache. On 25-MAY-2007, the patient recovered from tingling of her right and left fingers, hands, lips, and bridge of her nose and eyelids, left arm sorness and headache.The patient sought unspecified medical attention. No further information is available. Additional information is not expected.


Changed on 6/14/2014

284496 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Virginia
Vaccinated:2007-05-25
Onset:2007-05-25
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0212U / 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Headache, Pain in extremity, Paraesthesia, Paraesthesia oral

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Drug hypersensitivity; Convulsion disorder; Graves disease; Bipolar disorder; Anxiety
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA05188

Write-up:This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow-up information has been received from a health professional and a physician concerning an 18 year old female patient with drug hypersensitivity to morphine, convulsion disorder, graves disase, bipolar disorder and anxiety who on 25-MAY-2007 at 7:30 am was vaccinated in left arm with a second dose of GARDASIL (lot # 0212U). One hour after the injection the patient experienced tingling of her right and left fingers, hands, lips and bridge of her nose and eyelids, left arm sorness, and headache. On 25-MAY-2007, the patient recovered from tingling of her right and left fingers, hands, lips, and bridge of her nose and eyelids, left arm sorness and headache.The patient sought unspecified medical attention. No further information is available. Additional information is not expected.


Changed on 5/14/2017

284496 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Virginia
Vaccinated:2007-05-25
Onset:2007-05-25
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0212U / 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Headache, Pain in extremity, Paraesthesia, Paraesthesia oral

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Drug hypersensitivity; Convulsion disorder; Graves disease; Bipolar disorder; Anxiety
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA05188

Write-up:This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow-up information has been received from a health professional and a physician concerning an 18 year old female patient with drug hypersensitivity to morphine, convulsion disorder, graves disase, bipolar disorder and anxiety who on 25-MAY-2007 at 7:30 am was vaccinated in left arm with a second dose of GARDASIL (lot # 0212U). One hour after the injection the patient experienced tingling of her right and left fingers, hands, lips and bridge of her nose and eyelids, left arm sorness, and headache. On 25-MAY-2007, the patient recovered from tingling of her right and left fingers, hands, lips, and bridge of her nose and eyelids, left arm sorness and headache.The patient sought unspecified medical attention. No further information is available. Additional information is not expected.


Changed on 9/14/2017

284496 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Virginia
Vaccinated:2007-05-25
Onset:2007-05-25
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0212U / 1 2 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Headache, Pain in extremity, Paraesthesia, Paraesthesia oral

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Drug hypersensitivity; Convulsion disorder; Graves disease; Bipolar disorder; Anxiety
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA05188

Write-up:This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow-up information has been received from a health professional and a physician concerning an 18 year old female patient with drug hypersensitivity to morphine, convulsion disorder, graves disase, bipolar disorder and anxiety who on 25-MAY-2007 at 7:30 am was vaccinated in left arm with a second dose of GARDASIL (lot # 0212U). One hour after the injection the patient experienced tingling of her right and left fingers, hands, lips and bridge of her nose and eyelids, left arm sorness, and headache. On 25-MAY-2007, the patient recovered from tingling of her right and left fingers, hands, lips, and bridge of her nose and eyelids, left arm sorness and headache.The patient sought unspecified medical attention. No further information is available. Additional information is not expected.


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