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This is VAERS ID 284559

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284559
Age:19.0
Gender:Female
Location:Missouri
Vaccinated:0000-00-00
Onset:2007-05-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site pain, Pain in extremity

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

Write-up:Information has been received from a physician concerning a 19 year old female patient who was vaccinated in the arm with a first dose of Gardasil. Subsequently the day after, the injection complained of significant pain in the arm at the injection site a"nd in her upper arm toward her shoulder. The soreness in her arm lasted for one week and then dissipated. However, subsequently the soreness returned and as 30-MAY-2007 the patient was still experiencing pain and soreness. Unspecified medical attention wa


Changed on 12/8/2009

VAERS ID: 284559 Before After
Age:19.0
Gender:Female
Location:Missouri
Vaccinated:0000-00-00
Onset:2007-05-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site pain, Pain in extremity

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0706USA00046

Write-up:Information has been received from a physician concerning a 19 year old female patient who was vaccinated in the arm with a first dose of Gardasil. Subsequently the day after, the injection complained of significant pain in the arm at the injection site a"nd and in her upper arm toward her shoulder. The soreness in her arm lasted for one week and then dissipated. However, subsequently the soreness returned and as 30-MAY-2007 the patient was still experiencing pain and soreness. Unspecified medical attention wa was sought. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284559&WAYBACKHISTORY=ON


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