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This is VAERS ID 408006

History of Changes from the VAERS Wayback Machine

First Appeared on 12/7/2010

VAERS ID: 408006
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2010-10-07
Onset:2010-10-07
Submitted:2010-11-11
Entered:2010-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Oedema peripheral, Pain, Pain in extremity, Tenderness, Analgesic therapy

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1011USA00283

Write-up:This case was received from a Health Authority (ADR no. 20723424). A 12 year old patient with a medical history of mild asthma treated with salbutamol (as necessary) received an IM injection of GARDASIL (manufacturer and batch number not reported) on 07-OCT-2010. On the same day as vaccination, the patient developed a painful swollen arm. At the time of reporting the arm was still tender to touch, on passive and active movement. The patient required analgesia and physiotherapy four days post vaccination. The patient outcome was not recovered. This case was medically confirmed. The reported considered the events to be serious for disability/incapacity and being medically significant. The MHA coded the event of painful arm and swollen arm. Other business partner numbers included: E2010-06538. No further information is available.


Changed on 6/14/2014

VAERS ID: 408006 Before After
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2010-10-07
Onset:2010-10-07
Submitted:2010-11-11
Entered:2010-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Oedema peripheral, Pain, Pain in extremity, Tenderness, Analgesic therapy

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1011USA00283

Write-up:This case was received from a Health Authority (ADR no. 20723424). A 12 year old patient with a medical history of mild asthma treated with salbutamol (as necessary) received an IM injection of GARDASIL (manufacturer and batch number not reported) on 07-OCT-2010. On the same day as vaccination, the patient developed a painful swollen arm. At the time of reporting the arm was still tender to touch, on passive and active movement. The patient required analgesia and physiotherapy four days post vaccination. The patient outcome was not recovered. This case was medically confirmed. The reported considered the events to be serious for disability/incapacity and being medically significant. The MHA coded the event of painful arm and swollen arm. Other business partner numbers included: E2010-06538. No further information is available.


Changed on 4/14/2017

VAERS ID: 408006 Before After
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2010-10-07
Onset:2010-10-07
Submitted:2010-11-11
Entered:2010-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Oedema peripheral, Pain, Pain in extremity, Tenderness, Analgesic therapy

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1011USA00283

Write-up:This case was received from a Health Authority (ADR no. 20723424). A 12 year old patient with a medical history of mild asthma treated with salbutamol (as necessary) received an IM injection of GARDASIL (manufacturer and batch number not reported) on 07-OCT-2010. On the same day as vaccination, the patient developed a painful swollen arm. At the time of reporting the arm was still tender to touch, on passive and active movement. The patient required analgesia and physiotherapy four days post vaccination. The patient outcome was not recovered. This case was medically confirmed. The reported considered the events to be serious for disability/incapacity and being medically significant. The MHA coded the event of painful arm and swollen arm. Other business partner numbers included: E2010-06538. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=408006&WAYBACKHISTORY=ON


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