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This is VAERS ID 284538

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284538
Age:
Gender:Female
Location:Kansas
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

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

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

Write-up:Information has been received from a physician concerning a female patient with a urinary tract infection who on 29-MAY-2007 was vaccinated IM with Gardasil. Concomitant therapy included Menactra. That same day, the patient experienced pain and swelling a"t the injection site. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 284538 Before After
Age:
Gender:Female
Location:Kansas
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: MENACTRA
Current Illness: Urinary tract infection
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0705USA05748

Write-up:Information has been received from a physician concerning a female patient with a urinary tract infection who on 29-MAY-2007 was vaccinated IM with Gardasil. Concomitant therapy included Menactra. That same day, the patient experienced pain and swelling a"t at the injection site. The patient sought unspecified medical attention. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284538&WAYBACKHISTORY=ON


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