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This is VAERS ID 267100

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 267100
Age:21.0
Gender:Female
Location:Minnesota
Vaccinated:2006-11-08
Onset:2006-11-08
Submitted:2006-11-10
Entered:2006-11-17
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: Pruritus

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nuvaring, Allegra D, Albuterol, Nasonex
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt received vaccination early in AM. Called later that afternoon and was itching all over. took Benadryl which helped.


Changed on 12/8/2009

VAERS ID: 267100 Before After
Age:21.0
Gender:Female
Location:Minnesota
Vaccinated:2006-11-08
Onset:2006-11-08
Submitted:2006-11-10
Entered:2006-11-17
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: Pruritus

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nuvaring, Allegra D, Albuterol, Nasonex
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt received vaccination early in AM. Called later that afternoon and was itching all over. took Benadryl which helped.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=267100&WAYBACKHISTORY=ON


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