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This is VAERS ID 267524

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 267524
VAERS Form:
Age:21.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2006-11-02
Entered:2006-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0702F / 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin
Current Illness:
Preexisting Conditions: Von Willebrands, MRSA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Total body itching


Changed on 12/8/2009

VAERS ID: 267524 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2006-11-02
Entered:2006-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0702F / 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin
Current Illness:
Preexisting Conditions: Von Willebrands, MRSA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Total body itching


Changed on 9/14/2017

VAERS ID: 267524 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2006-11-02
Entered:2006-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin
Current Illness:
Preexisting Conditions: Von Willebrands, MRSA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Total body itching


Changed on 2/14/2018

VAERS ID: 267524 Before After
VAERS Form:1
Age:21.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2006-11-02
Entered:2006-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin
Current Illness:
Preexisting Conditions: Von Willebrands, MRSA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Total body itching


Changed on 6/14/2018

VAERS ID: 267524 Before After
VAERS Form:1
Age:21.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2006-11-02
Entered:2006-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin
Current Illness:
Preexisting Conditions: Von Willebrands, MRSA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Total body itching

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