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This is VAERS ID 284534

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284534
VAERS Form:
Age:32.0
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:2006-11-15
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Injection site pain, Injection site swelling, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 32 year old female who on 15-NOV-2006 was vaccinated with the first dose Gardasil 0.5 ml IM. On an unspecified date the patient received the second dose Gardasil. On 16-MAY-2007 the patient recei"ved the third dose of Gardasil 0.5 ml IM. On 17-MAY-2007 the patient experienced pain, swelling and tenderness at the injection site of the right deltoid muscle. The physician also mentioned that the patient had trouble lifting her arm due to pain. The ph


Changed on 12/8/2009

284534 Before After
VAERS Form:
Age:32.0
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:2006-11-15
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Injection site pain, Injection site swelling, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0705USA05721

Write-up:Information has been received from a physician concerning a 32 year old female who on 15-NOV-2006 was vaccinated with the first dose Gardasil 0.5 ml IM. On an unspecified date the patient received the second dose Gardasil. On 16-MAY-2007 the patient recei"ved received the third dose of Gardasil 0.5 ml IM. On 17-MAY-2007 the patient experienced pain, swelling and tenderness at the injection site of the right deltoid muscle. The physician also mentioned that the patient had trouble lifting her arm due to pain. The ph physician prescribed ibuprofen (Motrin). The patient was examined by the physician on 05-21-2007 and the symptoms were resolving. Additional information has been requested.


Changed on 9/14/2017

284534 Before After
VAERS Form:(blank) 1
Age:32.0
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:2006-11-15
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 3 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Injection site pain, Injection site swelling, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA05721

Write-up:Information has been received from a physician concerning a 32 year old female who on 15-NOV-2006 was vaccinated with the first dose Gardasil 0.5 ml IM. On an unspecified date the patient received the second dose Gardasil. On 16-MAY-2007 the patient received the third dose of Gardasil 0.5 ml IM. On 17-MAY-2007 the patient experienced pain, swelling and tenderness at the injection site of the right deltoid muscle. The physician also mentioned that the patient had trouble lifting her arm due to pain. The physician prescribed ibuprofen (Motrin). The patient was examined by the physician on 05-21-2007 and the symptoms were resolving. Additional information has been requested.


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