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This is VAERS ID 373657

History of Changes from the VAERS Wayback Machine

First Appeared on 1/5/2010

373657
VAERS Form:
Age:
Gender:Female
Location:Foreign
Vaccinated:2009-06-01
Onset:2009-06-01
Submitted:2009-12-15
Entered:2009-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. NK41620 / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Disability, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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': WAES0912RUS00002

Write-up:Information has been received from a physician concerning a female who in June 2009, was vaccinated with GARDASIL. In June 2009, the patient experienced arm pain. In September 2009, the patient recovered from arm pain. The reporter felt that arm pain was related to therapy with GARDASIL. Arm pain was considered to be disabling. No further information is available.


Changed on 9/14/2017

373657 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Foreign
Vaccinated:2009-06-01
Onset:2009-06-01
Submitted:2009-12-15
Entered:2009-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. NK41620 / - UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Disability, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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': WAES0912RUS00002

Write-up:Information has been received from a physician concerning a female who in June 2009, was vaccinated with GARDASIL. In June 2009, the patient experienced arm pain. In September 2009, the patient recovered from arm pain. The reporter felt that arm pain was related to therapy with GARDASIL. Arm pain was considered to be disabling. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=373657&WAYBACKHISTORY=ON


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