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This is VAERS ID 265435

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 265435
VAERS Form:
Age:22.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-17
Onset:2006-10-17
Submitted:2006-10-26
Entered:2006-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0641F / 0 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Acne

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Papules used BENADRYL and cortisone.


Changed on 12/8/2009

VAERS ID: 265435 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-17
Onset:2006-10-17
Submitted:2006-10-26
Entered:2006-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0641F / 0 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Acne

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Papules used BENADRYL and cortisone.


Changed on 1/5/2010

VAERS ID: 265435 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-17
Onset:2006-10-17
Submitted:2006-10-26
Entered:2006-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0641F / 0 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Acne

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Papules used BENADRYL and cortisone. Pt experienced severe case of hives over torso and legs ankle and feet. Hives lasted 4 days. Pt was given BENADRYL.


Changed on 9/14/2017

VAERS ID: 265435 Before After
VAERS Form:(blank) 1
Age:22.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-17
Onset:2006-10-17
Submitted:2006-10-26
Entered:2006-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0641F / 0 1 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Acne

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Papules used BENADRYL and cortisone. Pt experienced severe case of hives over torso and legs ankle and feet. Hives lasted 4 days. Pt was given BENADRYL.


Changed on 2/14/2018

VAERS ID: 265435 Before After
VAERS Form:1
Age:22.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-17
Onset:2006-10-17
Submitted:2006-10-26
Entered:2006-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0641F / 1 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Acne

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Papules used BENADRYL and cortisone. Pt experienced severe case of hives over torso and legs ankle and feet. Hives lasted 4 days. Pt was given BENADRYL.


Changed on 6/14/2018

VAERS ID: 265435 Before After
VAERS Form:1
Age:22.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-17
Onset:2006-10-17
Submitted:2006-10-26
Entered:2006-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0641F / 1 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Acne

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Papules used BENADRYL and cortisone. Pt experienced severe case of hives over torso and legs ankle and feet. Hives lasted 4 days. Pt was given BENADRYL.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=265435&WAYBACKHISTORY=ON


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