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This is VAERS ID 261575

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 261575
Age:24.0
Gender:Female
Location:California
Vaccinated:2006-07-12
Onset:2006-07-12
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DPP: DIPHTHERIA TOXOID/PERTUSSIS/POLIO VIRUS, INACT. / UNKNOWN MANUFACTURER - / - - / -
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Rash

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

Write-up:Information has been received from a physician concerning a 24 year old female with no medical history and no drug allergies who /"last week/" on approximately 12-JUL-2006 was vaccinated with HPV vaccine rLI 6 11 16 18 VLP vaccine (yeast) (0.5 ml). Conco"mitant therapy that day included diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid. The vaccines were administered in different arms. Subsequently, /"12 hours after vaccination/" the patient developed a rash throughout h


Changed on 12/8/2009

VAERS ID: 261575 Before After
Age:24.0
Gender:Female
Location:California
Vaccinated:2006-07-12
Onset:2006-07-12
Submitted:2006-08-10
Entered:2006-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DPP: DIPHTHERIA TOXOID/PERTUSSIS/POLIO VIRUS, INACT. / UNKNOWN MANUFACTURER - / - - / -
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. - / - - / -
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0607USA041063

Write-up:Information has been received from a physician concerning a 24 year old female with no medical history and no drug allergies who /"last week/" "last week" on approximately 12-JUL-2006 was vaccinated with HPV vaccine rLI 6 11 16 18 VLP vaccine (yeast) (0.5 ml). Conco"mitant Concomitant therapy that day included diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid. The vaccines were administered in different arms. Subsequently, /"12 "12 hours after vaccination/" vaccination" the patient developed a rash throughout h her whole body that lasted for two days. Unspecified medical attention was sought. The patient recovered two days after injection. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=261575&WAYBACKHISTORY=ON


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