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This is VAERS ID 409137

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/7/2010

VAERS ID: 409137
VAERS Form:
Age:17.0
Sex:Female
Location:California
Vaccinated:2010-11-04
Onset:2010-11-06
Submitted:2010-11-15
Entered:2010-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA113AA / 1 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: no
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 11/7 - onset red, induration (L) deltoid 2 days after HPV.


Changed on 9/14/2017

VAERS ID: 409137 Before After
VAERS Form:(blank) 1
Age:17.0
Sex:Female
Location:California
Vaccinated:2010-11-04
Onset:2010-11-06
Submitted:2010-11-15
Entered:2010-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA113AA / 1 2 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: no
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 11/7 - onset red, induration (L) deltoid 2 days after HPV.


Changed on 2/14/2018

VAERS ID: 409137 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2010-11-04
Onset:2010-11-06
Submitted:2010-11-15
Entered:2010-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA113AA / 2 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: no
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 11/7 - onset red, induration (L) deltoid 2 days after HPV.


Changed on 6/14/2018

VAERS ID: 409137 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2010-11-04
Onset:2010-11-06
Submitted:2010-11-15
Entered:2010-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA113AA / 2 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: no
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 11/7 - onset red, induration (L) deltoid 2 days after HPV.


Changed on 8/14/2018

VAERS ID: 409137 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2010-11-04
Onset:2010-11-06
Submitted:2010-11-15
Entered:2010-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA113AA / 2 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: no
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 11/7 - onset red, induration (L) deltoid 2 days after HPV.


Changed on 9/14/2018

VAERS ID: 409137 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2010-11-04
Onset:2010-11-06
Submitted:2010-11-15
Entered:2010-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA113AA / 2 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: no
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 11/7 - onset red, induration (L) deltoid 2 days after HPV.


Changed on 10/14/2018

VAERS ID: 409137 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2010-11-04
Onset:2010-11-06
Submitted:2010-11-15
Entered:2010-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA113AA / 2 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: no
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 11/7 - onset red, induration (L) deltoid 2 days after HPV.


Changed on 12/24/2020

VAERS ID: 409137 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2010-11-04
Onset:2010-11-06
Submitted:2010-11-15
Entered:2010-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA113AA / 2 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: no
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 11/7 - onset red, induration (L) deltoid 2 days after HPV.


Changed on 12/30/2020

VAERS ID: 409137 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2010-11-04
Onset:2010-11-06
Submitted:2010-11-15
Entered:2010-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA113AA / 2 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: no
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 11/7 - onset red, induration (L) deltoid 2 days after HPV.


Changed on 5/7/2021

VAERS ID: 409137 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2010-11-04
Onset:2010-11-06
Submitted:2010-11-15
Entered:2010-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA113AA / 2 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: no
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 11/7 - onset red, induration (L) deltoid 2 days after HPV.


Changed on 5/21/2021

VAERS ID: 409137 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2010-11-04
Onset:2010-11-06
Submitted:2010-11-15
Entered:2010-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA113AA / 2 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Current Illness: no
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 11/7 - onset red, induration (L) deltoid 2 days after HPV.

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