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This is VAERS ID 288761

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 288761
VAERS Form:
Age:24.0
Sex:Female
Location:Virginia
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-08-22
Entered:2007-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - LA / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Drug administered at inappropriate site, Pain in extremity, Incorrect dose administered

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: albuterol; antimicrobial (unspecified); YASMIN; phentermine hydrochloride 37.5 mL
Current Illness: Obesity; Hypersensitivity; Asthma
Preexisting Conditions: Headache
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: Information has been received from a physician concerning a 24 year old female with obesity, hypersensitivity and asthma and a history of headaches who on 29-MAY-2007 was vaccinated in the left arm with a 65 ml confirmed dose of Gardasil. Concomitant ther"apy included albuterol, phentermine HCL, antimicrobial (unspecified) and Yasmin. On 29-MAY-2007 the needle accidentally hit a /"vursar sac/" in the patient''''s left arm. Subsequently, the patient developed arm pain. The patient was going to physical therap


Changed on 12/8/2009

VAERS ID: 288761 Before After
VAERS Form:
Age:24.0
Sex:Female
Location:Virginia
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-08-22
Entered:2007-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - LA / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Drug administered at inappropriate site, Pain in extremity, Incorrect dose administered

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No Yes
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: albuterol; antimicrobial (unspecified); YASMIN; phentermine hydrochloride 37.5 mL
Current Illness: Obesity; Hypersensitivity; Asthma
Preexisting Conditions: Headache
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0708USA01863

Write-up: Information has been received from a physician concerning a 24 year old female with obesity, hypersensitivity and asthma and a history of headaches who on 29-MAY-2007 was vaccinated in the left arm with a 65 ml confirmed dose of Gardasil. Concomitant ther"apy therapy included albuterol, phentermine HCL, antimicrobial (unspecified) and Yasmin. On 29-MAY-2007 the needle accidentally hit a /"vursar sac/" "vursar sac" in the patient''''s patient''s left arm. Subsequently, the patient developed arm pain. The patient was going to physical therap therapy and is seeing an orthopedic doctor. At the time of the report the patient had not recovered. The reporting physician considered arm pain to be disabling. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 288761 Before After
VAERS Form:(blank) 1
Age:24.0
Sex:Female
Location:Virginia
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-08-22
Entered:2007-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Drug administered at inappropriate site, Pain in extremity, Incorrect dose administered

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: albuterol; antimicrobial (unspecified); YASMIN; phentermine hydrochloride 37.5 mL
Current Illness: Obesity; Hypersensitivity; Asthma
Preexisting Conditions: Headache
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0708USA01863

Write-up: Information has been received from a physician concerning a 24 year old female with obesity, hypersensitivity and asthma and a history of headaches who on 29-MAY-2007 was vaccinated in the left arm with a 65 ml confirmed dose of Gardasil. Concomitant therapy included albuterol, phentermine HCL, antimicrobial (unspecified) and Yasmin. On 29-MAY-2007 the needle accidentally hit a "vursar sac" in the patient''s left arm. Subsequently, the patient developed arm pain. The patient was going to physical therapy and is seeing an orthopedic doctor. At the time of the report the patient had not recovered. The reporting physician considered arm pain to be disabling. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 288761 Before After
VAERS Form:1
Age:24.0
Sex:Female
Location:Virginia
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-08-22
Entered:2007-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Drug administered at inappropriate site, Pain in extremity, Incorrect dose administered

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: albuterol; antimicrobial (unspecified); YASMIN; phentermine hydrochloride 37.5 mL
Current Illness: Obesity; Hypersensitivity; Asthma
Preexisting Conditions: Headache
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0708USA01863

Write-up: Information has been received from a physician concerning a 24 year old female with obesity, hypersensitivity and asthma and a history of headaches who on 29-MAY-2007 was vaccinated in the left arm with a 65 ml confirmed dose of Gardasil. Concomitant therapy included albuterol, phentermine HCL, antimicrobial (unspecified) and Yasmin. On 29-MAY-2007 the needle accidentally hit a "vursar sac" in the patient''s left arm. Subsequently, the patient developed arm pain. The patient was going to physical therapy and is seeing an orthopedic doctor. At the time of the report the patient had not recovered. The reporting physician considered arm pain to be disabling. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 288761 Before After
VAERS Form:1
Age:24.0
Sex:Female
Location:Virginia
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-08-22
Entered:2007-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Drug administered at inappropriate site, Pain in extremity, Incorrect dose administered

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: albuterol; antimicrobial (unspecified); YASMIN; phentermine hydrochloride 37.5 mL
Current Illness: Obesity; Hypersensitivity; Asthma
Preexisting Conditions: Headache
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0708USA01863

Write-up: Information has been received from a physician concerning a 24 year old female with obesity, hypersensitivity and asthma and a history of headaches who on 29-MAY-2007 was vaccinated in the left arm with a 65 ml confirmed dose of Gardasil. Concomitant therapy included albuterol, phentermine HCL, antimicrobial (unspecified) and Yasmin. On 29-MAY-2007 the needle accidentally hit a "vursar sac" in the patient''s left arm. Subsequently, the patient developed arm pain. The patient was going to physical therapy and is seeing an orthopedic doctor. At the time of the report the patient had not recovered. The reporting physician considered arm pain to be disabling. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 288761 Before After
VAERS Form:1
Age:24.0
Sex:Female
Location:Virginia
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-08-22
Entered:2007-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Drug administered at inappropriate site, Pain in extremity, Incorrect dose administered

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: albuterol; antimicrobial (unspecified); YASMIN; phentermine hydrochloride 37.5 mL
Current Illness: Obesity; Hypersensitivity; Asthma
Preexisting Conditions: Headache
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0708USA01863

Write-up: Information has been received from a physician concerning a 24 year old female with obesity, hypersensitivity and asthma and a history of headaches who on 29-MAY-2007 was vaccinated in the left arm with a 65 ml confirmed dose of Gardasil. Concomitant therapy included albuterol, phentermine HCL, antimicrobial (unspecified) and Yasmin. On 29-MAY-2007 the needle accidentally hit a "vursar sac" in the patient''s left arm. Subsequently, the patient developed arm pain. The patient was going to physical therapy and is seeing an orthopedic doctor. At the time of the report the patient had not recovered. The reporting physician considered arm pain to be disabling. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 288761 Before After
VAERS Form:1
Age:24.0
Sex:Female
Location:Virginia
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-08-22
Entered:2007-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Drug administered at inappropriate site, Pain in extremity, Incorrect dose administered

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: albuterol; antimicrobial (unspecified); YASMIN; phentermine hydrochloride 37.5 mL
Current Illness: Obesity; Hypersensitivity; Asthma
Preexisting Conditions: Headache
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0708USA01863

Write-up: Information has been received from a physician concerning a 24 year old female with obesity, hypersensitivity and asthma and a history of headaches who on 29-MAY-2007 was vaccinated in the left arm with a 65 ml confirmed dose of Gardasil. Concomitant therapy included albuterol, phentermine HCL, antimicrobial (unspecified) and Yasmin. On 29-MAY-2007 the needle accidentally hit a "vursar sac" in the patient''s left arm. Subsequently, the patient developed arm pain. The patient was going to physical therapy and is seeing an orthopedic doctor. At the time of the report the patient had not recovered. The reporting physician considered arm pain to be disabling. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 288761 Before After
VAERS Form:1
Age:24.0
Sex:Female
Location:Virginia
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-08-22
Entered:2007-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Drug administered at inappropriate site, Pain in extremity, Incorrect dose administered

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: albuterol; antimicrobial (unspecified); YASMIN; phentermine hydrochloride 37.5 mL
Current Illness: Obesity; Hypersensitivity; Asthma
Preexisting Conditions: Headache
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0708USA01863

Write-up: Information has been received from a physician concerning a 24 year old female with obesity, hypersensitivity and asthma and a history of headaches who on 29-MAY-2007 was vaccinated in the left arm with a 65 ml confirmed dose of Gardasil. Concomitant therapy included albuterol, phentermine HCL, antimicrobial (unspecified) and Yasmin. On 29-MAY-2007 the needle accidentally hit a "vursar sac" in the patient''s left arm. Subsequently, the patient developed arm pain. The patient was going to physical therapy and is seeing an orthopedic doctor. At the time of the report the patient had not recovered. The reporting physician considered arm pain to be disabling. Additional information has been requested.

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