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This is VAERS ID 264172

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 264172
Age:17.0
Gender:Female
Location:California
Vaccinated:2006-10-02
Onset:2006-10-06
Submitted:2006-10-09
Entered:2006-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, INC. U2114AA / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR, INC. C2559BA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Pruritus, Urticaria

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:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Urticaria (hives) developed 4 days after vaccines were given covered torso and extremities, extremely itchy. Pt was given Benadryl Zyrtec, Prednisone orally and took a bath with baking soda.


Changed on 12/8/2009

VAERS ID: 264172 Before After
Age:17.0
Gender:Female
Location:California
Vaccinated:2006-10-02
Onset:2006-10-06
Submitted:2006-10-09
Entered:2006-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, INC. AVENTIS PASTEUR U2114AA / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR, INC. AVENTIS PASTEUR C2559BA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Pruritus, Urticaria

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:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Urticaria (hives) developed 4 days after vaccines were given covered torso and extremities, extremely itchy. Pt was given Benadryl Zyrtec, Prednisone orally and took a bath with baking soda.


Changed on 4/7/2010

VAERS ID: 264172 Before After
Age:17.0
Gender:Female
Location:California
Vaccinated:2006-10-02
Onset:2006-10-06
Submitted:2006-10-09
Entered:2006-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U2114AA / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2559BA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Pruritus, Urticaria

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:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Urticaria (hives) developed 4 days after vaccines were given covered torso and extremities, extremely itchy. Pt was given Benadryl Zyrtec, Prednisone orally and took a bath with baking soda.


Changed on 5/14/2017

VAERS ID: 264172 Before After
Age:17.0
Gender:Female
Location:California
Vaccinated:2006-10-02
Onset:2006-10-06
Submitted:2006-10-09
Entered:2006-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U2114AA / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SANOFI PASTEUR C2559BA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Pruritus, Urticaria

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:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Urticaria (hives) developed 4 days after vaccines were given covered torso and extremities, extremely itchy. Pt was given Benadryl Zyrtec, Prednisone orally and took a bath with baking soda.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=264172&WAYBACKHISTORY=ON


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