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This is VAERS ID 284899

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284899
VAERS Form:
Age:15.0
Gender:Female
Location:Maryland
Vaccinated:2007-04-25
Onset:2007-04-25
Submitted:2007-07-06
Entered:2007-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 UN / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site pain, Injection site discomfort

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 15 year old white female who on 25-APR-2007 was vaccinated IM into the right deltoid with a 0.5 ml first dose of Gardasil (lot# 657621/0387U). On 25-APR-2007 the patient experienced pain a"t the injection site for three to four weeks after her injection. The patient obtained relief with MOTRIN. The patient has occasional discomfort at the injection site with movement currently. At the time of this report, the patient was recovering. No prod


Changed on 12/8/2009

284899 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Maryland
Vaccinated:2007-04-25
Onset:2007-04-25
Submitted:2007-07-06
Entered:2007-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 UN / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Injection site pain, Injection site discomfort

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0706USA00207

Write-up:Information has been received from a registered nurse concerning a 15 year old white female who on 25-APR-2007 was vaccinated IM into the right deltoid with a 0.5 ml first dose of Gardasil (lot# 657621/0387U). On 25-APR-2007 the patient experienced pain a"t at the injection site for three to four weeks after her injection. The patient obtained relief with MOTRIN. The patient has occasional discomfort at the injection site with movement currently. At the time of this report, the patient was recovering. No prod product quality complaint was involved. Additional information has been requested.


Changed on 9/14/2017

284899 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Maryland
Vaccinated:2007-04-25
Onset:2007-04-25
Submitted:2007-07-06
Entered:2007-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Injection site pain, Injection site discomfort

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0706USA00207

Write-up:Information has been received from a registered nurse concerning a 15 year old white female who on 25-APR-2007 was vaccinated IM into the right deltoid with a 0.5 ml first dose of Gardasil (lot# 657621/0387U). On 25-APR-2007 the patient experienced pain at the injection site for three to four weeks after her injection. The patient obtained relief with MOTRIN. The patient has occasional discomfort at the injection site with movement currently. At the time of this report, the patient was recovering. No product quality complaint was involved. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284899&WAYBACKHISTORY=ON


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