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This is VAERS ID 267782

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 267782
Age:17.0
Gender:Female
Location:Alabama
Vaccinated:2006-11-13
Onset:2006-11-13
Submitted:2006-11-13
Entered:2006-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0702F / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Rash

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

Write-up:Overall fine body rash for past 2 days. Pt has a concomitant tonsillitis onset 2 days ago - negative strep


Changed on 12/8/2009

VAERS ID: 267782 Before After
Age:17.0
Gender:Female
Location:Alabama
Vaccinated:2006-11-13
Onset:2006-11-13
Submitted:2006-11-13
Entered:2006-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Rash

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

Write-up:Overall fine body rash for past 2 days. Pt has a concomitant tonsillitis onset 2 days ago - negative strep


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=267782&WAYBACKHISTORY=ON


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