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This is VAERS ID 284514

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284514
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-24
Onset:2007-05-24
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site haematoma, Pain, Incorrect route of drug administration

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

Write-up:Information has been received from a medical assistant concerning a 16 year old female who on 24-MAY-2007 was vaccinated with Gardasil subcutaneously. The patient experienced an injection site hematoma and reported the injection was /"uncomfortable/". Sub"sequently, the patient recovered. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 284514 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-24
Onset:2007-05-24
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site haematoma, Pain, Incorrect route of drug administration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0705USA05443

Write-up:Information has been received from a medical assistant concerning a 16 year old female who on 24-MAY-2007 was vaccinated with Gardasil subcutaneously. The patient experienced an injection site hematoma and reported the injection was /"uncomfortable/". Sub"sequently, "uncomfortable". Subsequently, the patient recovered. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 284514 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-24
Onset:2007-05-24
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Other
Symptoms: Injection site haematoma, Pain, Incorrect route of drug administration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA05443

Write-up:Information has been received from a medical assistant concerning a 16 year old female who on 24-MAY-2007 was vaccinated with Gardasil vaccine(yeast) subcutaneously. The patient experienced an injection site hematoma and reported the injection was "uncomfortable". Subsequently, the patient recovered. Additional information has been requested. This in follow-up to report(s) previuously submitted on 6/14/2007. Follow up information received from the medical assistant stated that on 25-MAY-2007, the patient developed a sight hematoma. It was reported that on an unspecified daie the patient had recovered and was "fine". Additional information is not expected.


Changed on 4/7/2010

VAERS ID: 284514 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-24
Onset:2007-05-24
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Other
Symptoms: Discomfort, Injection site haematoma, Incorrect route of drug administration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA05443

Write-up:Information has been received from a medical assistant concerning a 16 year old female who on 24-MAY-2007 was vaccinated with Gardasil vaccine(yeast) subcutaneously. The patient experienced an injection site hematoma and reported the injection was "uncomfortable". Subsequently, the patient recovered. Additional information has been requested. This in follow-up to report(s) previuously submitted on 6/14/2007. Follow up information received from the medical assistant stated that on 25-MAY-2007, the patient developed a sight hematoma. It was reported that on an unspecified daie the patient had recovered and was "fine". Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 284514 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-24
Onset:2007-05-24
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Other
Symptoms: Discomfort, Injection site haematoma, Incorrect route of drug administration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA05443

Write-up:Information has been received from a medical assistant concerning a 16 year old female who on 24-MAY-2007 was vaccinated with Gardasil vaccine(yeast) subcutaneously. The patient experienced an injection site hematoma and reported the injection was "uncomfortable". Subsequently, the patient recovered. Additional information has been requested. This in follow-up to report(s) previuously submitted on 6/14/2007. Follow up information received from the medical assistant stated that on 25-MAY-2007, the patient developed a sight hematoma. It was reported that on an unspecified daie the patient had recovered and was "fine". Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 284514 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-24
Onset:2007-05-24
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Other
Symptoms: Discomfort, Injection site haematoma, Incorrect route of drug administration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA05443

Write-up:Information has been received from a medical assistant concerning a 16 year old female who on 24-MAY-2007 was vaccinated with Gardasil vaccine(yeast) subcutaneously. The patient experienced an injection site hematoma and reported the injection was "uncomfortable". Subsequently, the patient recovered. Additional information has been requested. This in follow-up to report(s) previuously submitted on 6/14/2007. Follow up information received from the medical assistant stated that on 25-MAY-2007, the patient developed a sight hematoma. It was reported that on an unspecified daie the patient had recovered and was "fine". Additional information is not expected.


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