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This is VAERS ID 284862

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284862
VAERS Form:
Age:14.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-02-27
Onset:2007-03-01
Submitted:2007-07-06
Entered:2007-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Pyrexia, Rheumatoid factor negative

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: None
Current Illness: None
Preexisting Conditions: Possible early glaucoma
Allergies:
Diagnostic Lab Data: All labs for arthritis/SLE negative per rheumatology
CDC 'Split Type':

Write-up:Arthralgias (in knees/ankles/feet i.e small jts) finges/toeswrist, Fever Sx approx. 2-3 days after Gardasil


Changed on 12/8/2009

284862 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-02-27
Onset:2007-03-01
Submitted:2007-07-06
Entered:2007-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 UN / UN

Administered by: Private      Purchased by: Unknown Private
Symptoms: Arthralgia, Pyrexia, Rheumatoid factor negative

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: None
Current Illness: None
Preexisting Conditions: Possible early glaucoma
Allergies:
Diagnostic Lab Data: All labs for arthritis/SLE negative per rheumatology
CDC 'Split Type':

Write-up:Arthralgias (in knees/ankles/feet i.e small jts) finges/toeswrist, Fever Sx approx. 2-3 days after Gardasil


Changed on 9/14/2017

284862 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-02-27
Onset:2007-03-01
Submitted:2007-07-06
Entered:2007-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Pyrexia, Rheumatoid factor negative

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: None
Current Illness: None
Preexisting Conditions: Possible early glaucoma
Allergies:
Diagnostic Lab Data: All labs for arthritis/SLE negative per rheumatology
CDC 'Split Type':

Write-up:Arthralgias (in knees/ankles/feet i.e small jts) finges/toeswrist, Fever Sx approx. 2-3 days after Gardasil


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284862&WAYBACKHISTORY=ON


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