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This is VAERS ID 288903

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 288903
VAERS Form:
Age:25.0
Sex:Female
Location:Unknown
Vaccinated:2007-07-24
Onset:2007-07-24
Submitted:2007-08-23
Entered:2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Breast pain, Chest pain, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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 registered nurse concerning a 25 year old female who on 24-JUL-2007 was vaccinated with the first dose of Gardasil. On 24-JUL-2007 the patient experienced pain at the injection site. The pain has persisted for a month"now and has traveled into her breast and chest area. The patient''''s pain at injection site and pain in breast and chest area persisted. Pain at injection site and pain in breast and chest area were considered to be disabling. Additional information has be


Changed on 12/8/2009

VAERS ID: 288903 Before After
VAERS Form:
Age:25.0
Sex:Female
Location:Unknown
Vaccinated:2007-07-24
Onset:2007-07-24
Submitted:2007-08-23
Entered:2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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) WAES0708USA03670

Write-up: Information has been received from a registered nurse concerning a 25 year old female who on 24-JUL-2007 was vaccinated with the first dose of Gardasil. On 24-JUL-2007 the patient experienced pain at the injection site. The pain has persisted for a month"now month now and has traveled into her breast and chest area. The patient''''s patient''s pain at injection site and pain in breast and chest area persisted. Pain at injection site and pain in breast and chest area were considered to be disabling. Additional information has be been requested.


Changed on 9/14/2017

VAERS ID: 288903 Before After
VAERS Form:(blank) 1
Age:25.0
Sex:Female
Location:Unknown
Vaccinated:2007-07-24
Onset:2007-07-24
Submitted:2007-08-23
Entered:2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Breast pain, Chest pain, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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': WAES0708USA03670

Write-up: Information has been received from a registered nurse concerning a 25 year old female who on 24-JUL-2007 was vaccinated with the first dose of Gardasil. On 24-JUL-2007 the patient experienced pain at the injection site. The pain has persisted for a month now and has traveled into her breast and chest area. The patient''s pain at injection site and pain in breast and chest area persisted. Pain at injection site and pain in breast and chest area were considered to be disabling. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 288903 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Unknown
Vaccinated:2007-07-24
Onset:2007-07-24
Submitted:2007-08-23
Entered:2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Breast pain, Chest pain, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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': WAES0708USA03670

Write-up: Information has been received from a registered nurse concerning a 25 year old female who on 24-JUL-2007 was vaccinated with the first dose of Gardasil. On 24-JUL-2007 the patient experienced pain at the injection site. The pain has persisted for a month now and has traveled into her breast and chest area. The patient''s pain at injection site and pain in breast and chest area persisted. Pain at injection site and pain in breast and chest area were considered to be disabling. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 288903 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Unknown
Vaccinated:2007-07-24
Onset:2007-07-24
Submitted:2007-08-23
Entered:2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Breast pain, Chest pain, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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': WAES0708USA03670

Write-up: Information has been received from a registered nurse concerning a 25 year old female who on 24-JUL-2007 was vaccinated with the first dose of Gardasil. On 24-JUL-2007 the patient experienced pain at the injection site. The pain has persisted for a month now and has traveled into her breast and chest area. The patient''s pain at injection site and pain in breast and chest area persisted. Pain at injection site and pain in breast and chest area were considered to be disabling. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 288903 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Unknown
Vaccinated:2007-07-24
Onset:2007-07-24
Submitted:2007-08-23
Entered:2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Breast pain, Chest pain, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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': WAES0708USA03670

Write-up: Information has been received from a registered nurse concerning a 25 year old female who on 24-JUL-2007 was vaccinated with the first dose of Gardasil. On 24-JUL-2007 the patient experienced pain at the injection site. The pain has persisted for a month now and has traveled into her breast and chest area. The patient''s pain at injection site and pain in breast and chest area persisted. Pain at injection site and pain in breast and chest area were considered to be disabling. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 288903 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Unknown
Vaccinated:2007-07-24
Onset:2007-07-24
Submitted:2007-08-23
Entered:2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Breast pain, Chest pain, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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': WAES0708USA03670

Write-up: Information has been received from a registered nurse concerning a 25 year old female who on 24-JUL-2007 was vaccinated with the first dose of Gardasil. On 24-JUL-2007 the patient experienced pain at the injection site. The pain has persisted for a month now and has traveled into her breast and chest area. The patient''s pain at injection site and pain in breast and chest area persisted. Pain at injection site and pain in breast and chest area were considered to be disabling. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 288903 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Unknown
Vaccinated:2007-07-24
Onset:2007-07-24
Submitted:2007-08-23
Entered:2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Breast pain, Chest pain, Injection site pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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': WAES0708USA03670

Write-up: Information has been received from a registered nurse concerning a 25 year old female who on 24-JUL-2007 was vaccinated with the first dose of Gardasil. On 24-JUL-2007 the patient experienced pain at the injection site. The pain has persisted for a month now and has traveled into her breast and chest area. The patient''s pain at injection site and pain in breast and chest area persisted. Pain at injection site and pain in breast and chest area were considered to be disabling. Additional information has been requested.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=288903&WAYBACKHISTORY=ON


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