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This is VAERS ID 284896

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284896
VAERS Form:
Age:
Gender:Unknown
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-06
Entered:2007-07-13
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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 patient who was vaccinated with a dose of Gardasil (lot number unknown). The physician reported that the patient experienced pain at the injection site after receiving the Gardasil routinely; how"ever she had not had any issues with patients coming back for the second and third injections. The outcome was unknown. Additional information was received from the office manager via phone call who reported that the pain did not linger. Additional inform


Changed on 12/8/2009

284896 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-06
Entered:2007-07-13
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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) WAES0705USA00580

Write-up:Information has been received from a physician concerning a patient who was vaccinated with a dose of Gardasil (lot number unknown). The physician reported that the patient experienced pain at the injection site after receiving the Gardasil routinely; how"ever however she had not had any issues with patients coming back for the second and third injections. The outcome was unknown. Additional information was received from the office manager via phone call who reported that the pain did not linger. Additional inform information has been requested.


Changed on 9/14/2017

284896 Before After
VAERS Form:(blank) 1
Age:
Gender:Unknown
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-06
Entered:2007-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0705USA00580

Write-up:Information has been received from a physician concerning a patient who was vaccinated with a dose of Gardasil (lot number unknown). The physician reported that the patient experienced pain at the injection site after receiving the Gardasil routinely; however she had not had any issues with patients coming back for the second and third injections. The outcome was unknown. Additional information was received from the office manager via phone call who reported that the pain did not linger. Additional information has been requested.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284896&WAYBACKHISTORY=ON


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