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This is VAERS ID 263612

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 263612
Age:18.0
Gender:Female
Location:North Carolina
Vaccinated:2006-09-01
Onset:2006-09-08
Submitted:2006-09-25
Entered:2006-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Blister, Erythema, Hypersensitivity, Rash erythematous

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

Write-up:Raised erythematous patchy rash of left shoulder (Behind left deltoid muscle) with slight vesicles. Also similar linear rash on left leg (appearance of delayed hypersensitivity) rash began 1 week after injection.


Changed on 12/8/2009

VAERS ID: 263612 Before After
Age:18.0
Gender:Female
Location:North Carolina
Vaccinated:2006-09-01
Onset:2006-09-08
Submitted:2006-09-25
Entered:2006-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / IM

Administered by: Other      Purchased by: Unknown Private
Symptoms: Blister, Erythema, Hypersensitivity, Rash erythematous

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

Write-up:Raised erythematous patchy rash of left shoulder (Behind left deltoid muscle) with slight vesicles. Also similar linear rash on left leg (appearance of delayed hypersensitivity) rash began 1 week after injection.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=263612&WAYBACKHISTORY=ON


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