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This is VAERS ID 284545

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284545
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-14
Onset:2007-04-16
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: (therapy unspecified)
Current Illness:
Preexisting Conditions: Adverse drug reaction
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a physician''''s assistant concerning a 22 year old female with a history of an unspecified reaction to Lortab who on 14-MAR-2007 was vaccinated with her second dose of Gardasil (lot# 657617/0384U). Concomitant therapy inc"luded unspecified birth control. The patient experienced pain at the injection site. As of 31-MAY-2007 she was recovering. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 284545 Before After
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-14
Onset:2007-04-16
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: (therapy unspecified)
Current Illness:
Preexisting Conditions: Adverse drug reaction
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0706USA0011

Write-up:Information has been received from a physician''''s physician''s assistant concerning a 22 year old female with a history of an unspecified reaction to Lortab who on 14-MAR-2007 was vaccinated with her second dose of Gardasil (lot# 657617/0384U). Concomitant therapy inc"luded included unspecified birth control. The patient experienced pain at the injection site. As of 31-MAY-2007 she was recovering. Additional information has been requested.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284545&WAYBACKHISTORY=ON


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