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This is VAERS ID 267100

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

267100
VAERS Form:
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
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: Nuvaring, Allegra D, Albuterol, Nasonex
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
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

267100 Before After
VAERS Form:
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
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: Nuvaring, Allegra D, Albuterol, Nasonex
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
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 9/14/2017

267100 Before After
VAERS Form:(blank) 1
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: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Pruritus

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: Nuvaring, Allegra D, Albuterol, Nasonex
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
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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