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This is VAERS ID 324904

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 324904
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-08-01
Onset:2007-08-01
Submitted:2008-08-14
Entered:2008-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site pain, Activities of daily living impaired, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a physician''''s assistant concerning a female with no drug reactions/allergies, who in August 2007, was vaccinated intramuscularly with a first dose of GARDASIL (lot # not reported) 0.5 mL. There was no concomitant medic"ation. In August 2007 after the GARDASIL was administered, the patient experienced immediate severe pain at the injection site of the left arm. Due to the pain, the patient was unable to participate in sports. The pain resolved in one week without requ


Changed on 12/8/2009

VAERS ID: 324904 Before After
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-08-01
Onset:2007-08-01
Submitted:2008-08-14
Entered:2008-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site pain, Activities of daily living impaired, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0807USA03705

Write-up:Information has been received from a physician''''s physician''s assistant concerning a female with no drug reactions/allergies, who in August 2007, was vaccinated intramuscularly with a first dose of GARDASIL (lot # not reported) 0.5 mL. There was no concomitant medic"ation. medication. In August 2007 after the GARDASIL was administered, the patient experienced immediate severe pain at the injection site of the left arm. Due to the pain, the patient was unable to participate in sports. The pain resolved in one week without requ requiring treatment. The patient contacted the physician''s office via phone. The patient has not received the second or third dose of GARDASIL. No further information was available. Immediate severe pain at the injection site was considered to be disabling. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=324904&WAYBACKHISTORY=ON


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