National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 558701

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2015

VAERS ID: 558701
Age:14.0
Gender:Male
Location:Idaho
Vaccinated:2014-07-02
Onset:2014-07-02
Submitted:2014-12-16
Entered:2014-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J008423 / - RA / IM

Administered by: Other      Purchased by: Public
Symptoms: Incorrect storage of drug, No adverse event

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1412USA007473

Write-up:Information was received from a certified nurse assistant regarding a 14 year old male patient who was administered GARDASIL (lot # J008423) injection intramuscular 0.5ml in right deltoid on 02JUL2014. The GARDASIL was involved in a temperature excursion. No adverse event was reported. Please see additional information for other cases reported by same provider. Additional information is not expected.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=558701&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166