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This is VAERS ID 284524

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284524
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-25
Onset:2007-04-25
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site pain, Injection site swelling, Injection site nodule

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a Doctor of Pharmacy concerning his 17 year old daughter who on 25-APR-2007 was vaccinated with 0.5 mL second dose of Gardasil. There was no concomitant medication. Shortly after administration of the dose, the patient e"xperienced swelling and pain at the injection site. The swelling had gone down, but there was still a nodule present at the injection site that was painful when pressure was applied to it. No form of treatment was used to help with the symptoms. At the ti


Changed on 12/8/2009

284524 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-25
Onset:2007-04-25
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site pain, Injection site swelling, Injection site nodule

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0705USA05684

Write-up:Information has been received from a Doctor of Pharmacy concerning his 17 year old daughter who on 25-APR-2007 was vaccinated with 0.5 mL second dose of Gardasil. There was no concomitant medication. Shortly after administration of the dose, the patient e"xperienced experienced swelling and pain at the injection site. The swelling had gone down, but there was still a nodule present at the injection site that was painful when pressure was applied to it. No form of treatment was used to help with the symptoms. At the ti time of this report, the patient was recovering. Additional information has been requested.


Changed on 9/14/2017

284524 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-25
Onset:2007-04-25
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, Injection site swelling, Injection site nodule

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA05684

Write-up:Information has been received from a Doctor of Pharmacy concerning his 17 year old daughter who on 25-APR-2007 was vaccinated with 0.5 mL second dose of Gardasil. There was no concomitant medication. Shortly after administration of the dose, the patient experienced swelling and pain at the injection site. The swelling had gone down, but there was still a nodule present at the injection site that was painful when pressure was applied to it. No form of treatment was used to help with the symptoms. At the time of this report, the patient was recovering. Additional information has been requested.


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