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This is VAERS ID 267995

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

267995
VAERS Form:
Age:17.0
Gender:Female
Location:Missouri
Vaccinated:2006-11-20
Onset:2006-11-24
Submitted:2006-11-29
Entered:2006-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0688F / - LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Oedema peripheral, Swelling face

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:2nd dose Patient medicine on 11-20-06 and complain of swelling in lips, hands, and feet.


Changed on 12/8/2009

267995 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Missouri
Vaccinated:2006-11-20
Onset:2006-11-24
Submitted:2006-11-29
Entered:2006-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0688F / - LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Oedema peripheral, Swelling face

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:2nd dose Patient medicine on 11-20-06 and complain of swelling in lips, hands, and feet.


Changed on 9/14/2017

267995 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Missouri
Vaccinated:2006-11-20
Onset:2006-11-24
Submitted:2006-11-29
Entered:2006-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / - UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Oedema peripheral, Swelling face

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:2nd dose Patient medicine on 11-20-06 and complain of swelling in lips, hands, and feet.


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