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This is VAERS ID 263185

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

263185
VAERS Form:
Age:15.0
Gender:Female
Location:New York
Vaccinated:2006-08-29
Onset:2006-08-29
Submitted:2006-08-31
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dysphagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Singulair, Allegra, Flovent, Rhinocort
Current Illness:
Preexisting Conditions: Asthma, Penicillin allergy.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:2 hours after Gardasil Administration pt developed inability to swallow. Advised to take Benadryl by covering physician and go to ER. In ER not given EPI but Solumedrol to take for 5 days.


Changed on 12/8/2009

263185 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:New York
Vaccinated:2006-08-29
Onset:2006-08-29
Submitted:2006-08-31
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dysphagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Singulair, Allegra, Flovent, Rhinocort
Current Illness:
Preexisting Conditions: Asthma, Penicillin allergy.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:2 hours after Gardasil Administration pt developed inability to swallow. Advised to take Benadryl by covering physician and go to ER. In ER not given EPI but Solumedrol to take for 5 days.


Changed on 9/14/2017

263185 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:New York
Vaccinated:2006-08-29
Onset:2006-08-29
Submitted:2006-08-31
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dysphagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Singulair, Allegra, Flovent, Rhinocort
Current Illness:
Preexisting Conditions: Asthma, Penicillin allergy.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:2 hours after Gardasil Administration pt developed inability to swallow. Advised to take Benadryl by covering physician and go to ER. In ER not given EPI but Solumedrol to take for 5 days.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=263185&WAYBACKHISTORY=ON


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