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This is VAERS ID 263751

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 263751
Age:20.0
Gender:Female
Location:New York
Vaccinated:2006-08-25
Onset:2006-08-26
Submitted:2000-09-26
Entered:2006-09-29
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: Injection site reaction, Rash

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

Write-up:Rash at injection site at 24 hours after administration, then rash on other arm (at corresponding site)


Changed on 12/8/2009

VAERS ID: 263751 Before After
Age:20.0
Gender:Female
Location:New York
Vaccinated:2006-08-25
Onset:2006-08-26
Submitted:2000-09-26
Entered:2006-09-29
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 Other
Symptoms: Injection site reaction, Rash

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

Write-up:Rash at injection site at 24 hours after administration, then rash on other arm (at corresponding site)


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=263751&WAYBACKHISTORY=ON


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