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This is VAERS ID 268992

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 268992
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2006-11-22
Onset:2006-11-30
Submitted:2006-12-15
Entered:2006-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0954F / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash erythematous

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zithromax, Orthotrycyclen
Current Illness: Dysmonorrhea, Sinusitis
Preexisting Conditions: Allergy to Cephalosporins, Penicillin and Sulfa
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:One week after injection, pt. has had a patchy, dry, erythemous rash 1 cm. in circumference show up intermittently on trunk and extremities. Rash remits and recurs. No history of rash.


Changed on 12/8/2009

VAERS ID: 268992 Before After
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2006-11-22
Onset:2006-11-30
Submitted:2006-12-15
Entered:2006-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash erythematous

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zithromax, Orthotrycyclen
Current Illness: Dysmonorrhea, Sinusitis
Preexisting Conditions: Allergy to Cephalosporins, Penicillin and Sulfa
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:One week after injection, pt. has had a patchy, dry, erythemous rash 1 cm. in circumference show up intermittently on trunk and extremities. Rash remits and recurs. No history of rash.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=268992&WAYBACKHISTORY=ON


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