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This is VAERS ID 267483

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 267483
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-10-30
Onset:2006-10-30
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Ocular hyperaemia, Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a nurse concerning an 18 year old female who on 30-OCT-2006 was vaccinated with the first dose of GARDASIL. On 30-OCT-2006 the patient developed a /"rash on the palm of her hand and also red, itchy eyes./" The patient so"ught unspecified medical attention. The nurse reported that the patient had recently purchased new eye makeup. At the time of this report, the outcome of the events were unknown. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 267483 Before After
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-10-30
Onset:2006-10-30
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Ocular hyperaemia, Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0611USA00732

Write-up:Information has been received from a nurse concerning an 18 year old female who on 30-OCT-2006 was vaccinated with the first dose of GARDASIL. On 30-OCT-2006 the patient developed a /"rash "rash on the palm of her hand and also red, itchy eyes./" eyes." The patient so"ught sought unspecified medical attention. The nurse reported that the patient had recently purchased new eye makeup. At the time of this report, the outcome of the events were unknown. Additional information has been requested.


Changed on 1/5/2010

VAERS ID: 267483 Before After
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-10-30
Onset:2006-10-30
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0702F / 0 - / -

Administered by: Other Private      Purchased by: Other Private
Symptoms: Ocular hyperaemia, Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK Unknown
Current Illness:
Preexisting Conditions: UNK None
Diagnostic Lab Data: UNK None
CDC 'Split Type': WAES0611USA00732

Write-up:Information has been received from a nurse concerning an 18 year old female who on 30-OCT-2006 was vaccinated with the first dose of GARDASIL. On 30-OCT-2006 the patient developed a "rash on the palm of her hand and also red, itchy eyes." The patient sought unspecified medical attention. The nurse reported that the patient had recently purchased new eye makeup. At the time of this report, the outcome of the events were unknown. Additional information has been requested. 04/06/2007 This is in follow-up to report(s) previously submitted on 11/14/2006. Initial and follow up information has been received from a nurse concerning an 18 year old female student with no pre-existing medical conditions and no known allergies reported. On 30-OCT-2006, at approximately 9:30 AM, the patient was vaccinated with the first dose of GARDASIL (Lot# 653650/0702F). There were no illnesses noted at the time of vaccination. On 30-OCT-2006, at 11:00 AM, the patient developed swollen eyes and rash to hands and feet (previously reported as a "rash on the palm of her hand" and also red, itchy eyes). The patient sought unspecified medical attention. The patient reported that she had a new makeup product applied several days around the injection. The patient went to the school clinic after the onset of symptoms. The patient was treated with ALLEGRA and the symptoms improved in approximately 24 hours. On 31-OCT-2006, the patient had recovered from the events. Additional information has been requested.


Changed on 3/14/2014

VAERS ID: 267483 Before After
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-10-30
Onset:2006-10-30
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 - UN / - UN

Administered by: Private      Purchased by: Private
Symptoms: Ocular hyperaemia, Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0611USA00732

Write-up:Information has been received from a nurse concerning an 18 year old female who on 30-OCT-2006 was vaccinated with the first dose of GARDASIL. On 30-OCT-2006 the patient developed a "rash on the palm of her hand and also red, itchy eyes." The patient sought unspecified medical attention. The nurse reported that the patient had recently purchased new eye makeup. At the time of this report, the outcome of the events were unknown. Additional information has been requested. 04/06/2007 This is in follow-up to report(s) previously submitted on 11/14/2006. Initial and follow up information has been received from a nurse concerning an 18 year old female student with no pre-existing medical conditions and no known allergies reported. On 30-OCT-2006, at approximately 9:30 AM, the patient was vaccinated with the first dose of GARDASIL (Lot# 653650/0702F). There were no illnesses noted at the time of vaccination. On 30-OCT-2006, at 11:00 AM, the patient developed swollen eyes and rash to hands and feet (previously reported as a "rash on the palm of her hand" and also red, itchy eyes). The patient sought unspecified medical attention. The patient reported that she had a new makeup product applied several days around the injection. The patient went to the school clinic after the onset of symptoms. The patient was treated with ALLEGRA and the symptoms improved in approximately 24 hours. On 31-OCT-2006, the patient had recovered from the events. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 267483 Before After
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-10-30
Onset:2006-10-30
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Ocular hyperaemia, Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0611USA00732

Write-up:Information has been received from a nurse concerning an 18 year old female who on 30-OCT-2006 was vaccinated with the first dose of GARDASIL. On 30-OCT-2006 the patient developed a "rash on the palm of her hand and also red, itchy eyes." The patient sought unspecified medical attention. The nurse reported that the patient had recently purchased new eye makeup. At the time of this report, the outcome of the events were unknown. Additional information has been requested. 04/06/2007 This is in follow-up to report(s) previously submitted on 11/14/2006. Initial and follow up information has been received from a nurse concerning an 18 year old female student with no pre-existing medical conditions and no known allergies reported. On 30-OCT-2006, at approximately 9:30 AM, the patient was vaccinated with the first dose of GARDASIL (Lot# 653650/0702F). There were no illnesses noted at the time of vaccination. On 30-OCT-2006, at 11:00 AM, the patient developed swollen eyes and rash to hands and feet (previously reported as a "rash on the palm of her hand" and also red, itchy eyes). The patient sought unspecified medical attention. The patient reported that she had a new makeup product applied several days around the injection. The patient went to the school clinic after the onset of symptoms. The patient was treated with ALLEGRA and the symptoms improved in approximately 24 hours. On 31-OCT-2006, the patient had recovered from the events. Additional information has been requested.


Changed on 3/14/2015

VAERS ID: 267483 Before After
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-10-30
Onset:2006-10-30
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Ocular hyperaemia, Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0611USA00732

Write-up:Information has been received from a nurse concerning an 18 year old female who on 30-OCT-2006 was vaccinated with the first dose of GARDASIL. On 30-OCT-2006 the patient developed a "rash on the palm of her hand and also red, itchy eyes." The patient sought unspecified medical attention. The nurse reported that the patient had recently purchased new eye makeup. At the time of this report, the outcome of the events were unknown. Additional information has been requested. 04/06/2007 This is in follow-up to report(s) previously submitted on 11/14/2006. Initial and follow up information has been received from a nurse concerning an 18 year old female student with no pre-existing medical conditions and no known allergies reported. On 30-OCT-2006, at approximately 9:30 AM, the patient was vaccinated with the first dose of GARDASIL (Lot# 653650/0702F). There were no illnesses noted at the time of vaccination. On 30-OCT-2006, at 11:00 AM, the patient developed swollen eyes and rash to hands and feet (previously reported as a "rash on the palm of her hand" and also red, itchy eyes). The patient sought unspecified medical attention. The patient reported that she had a new makeup product applied several days around the injection. The patient went to the school clinic after the onset of symptoms. The patient was treated with ALLEGRA and the symptoms improved in approximately 24 hours. On 31-OCT-2006, the patient had recovered from the events. Additional information has been requested.


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