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This is VAERS ID 269180

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 269180
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-02
Onset:2006-11-03
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Menorrhagia, Migraine, 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 an office manager concerning a 14 year old female who on 02-Nov-2006 was vaccinated intramuscularly in the arm with a 0.5 ml dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). On 03-Nov-2006 the patient started her menses a"nd experienced a migraine. On 06-Nov-2006 the patient experienced a rash on her vaccinated arm which also spread to her face. Unspecified medical attention was sought. The patient was treated with diphenhydramine (BENADRYL) and the rash had subsided. AT t


Changed on 12/8/2009

VAERS ID: 269180 Before After
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-02
Onset:2006-11-03
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Menorrhagia, Migraine, 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) WAES0611USA02908

Write-up:Information has been received from an office manager concerning a 14 year old female who on 02-Nov-2006 was vaccinated intramuscularly in the arm with a 0.5 ml dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). On 03-Nov-2006 the patient started her menses a"nd and experienced a migraine. On 06-Nov-2006 the patient experienced a rash on her vaccinated arm which also spread to her face. Unspecified medical attention was sought. The patient was treated with diphenhydramine (BENADRYL) and the rash had subsided. AT t the time of report, the patient was recovering from the migraine. No product quality complaint was involved. Additional information has been requested.


Changed on 1/5/2010

VAERS ID: 269180 Before After
Age:14.0
Gender:Female
Location:Unknown New Jersey
Vaccinated:2006-11-02
Onset:2006-11-03
Submitted:2006-12-14 2007-04-06
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - 0 - UN / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Menorrhagia, Migraine, 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 None
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA02908

Write-up:Information has been received from an office manager concerning a 14 year old female who on 02-Nov-2006 was vaccinated intramuscularly in the arm with a 0.5 ml dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). On 03-Nov-2006 the patient started her menses and experienced a migraine. On 06-Nov-2006 the patient experienced a rash on her vaccinated arm which also spread to her face. Unspecified medical attention was sought. The patient was treated with diphenhydramine (BENADRYL) and the rash had subsided. AT the time of report, the patient was recovering from the migraine. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Information has been received from an office manager concerning a 14 year old female with no pertinent medical history who on 02-NOV-2006, at 15:00, was vaccinated intramuscularly in the left arm with a 0.5 ml first dose of GARDASIL. On 03-NOV-2006 the patient started her menses and experienced a migraine. On 06-NOV-2006 the patient developed hives on her vaccinated arm which also spread to her face. Unspecified medical attention was sought. The patient was treated with BENADRYL and the rash had subsided. At the time of report, the patient was recovering from the migraine. Follow-up reported that the patient had a new puppy with fleas. The pediatrician diagnosed that the rash was due to flea bites and not due to an allergy. The patient was expected to received the second dose in January 2007. No product quality complaint was involved. Additional information is not available.


Changed on 7/31/2010

VAERS ID: 269180 Before After
Age:14.0
Gender:Female
Location:New Jersey
Vaccinated:2006-11-02
Onset:2006-11-03
Submitted:2007-04-06
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthropod bite, Menorrhagia, Migraine, Rash, Urticaria

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: None
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA02908

Write-up:Information has been received from an office manager concerning a 14 year old female who on 02-Nov-2006 was vaccinated intramuscularly in the arm with a 0.5 ml dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). On 03-Nov-2006 the patient started her menses and experienced a migraine. On 06-Nov-2006 the patient experienced a rash on her vaccinated arm which also spread to her face. Unspecified medical attention was sought. The patient was treated with diphenhydramine (BENADRYL) and the rash had subsided. AT the time of report, the patient was recovering from the migraine. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Information has been received from an office manager concerning a 14 year old female with no pertinent medical history who on 02-NOV-2006, at 15:00, was vaccinated intramuscularly in the left arm with a 0.5 ml first dose of GARDASIL. On 03-NOV-2006 the patient started her menses and experienced a migraine. On 06-NOV-2006 the patient developed hives on her vaccinated arm which also spread to her face. Unspecified medical attention was sought. The patient was treated with BENADRYL and the rash had subsided. At the time of report, the patient was recovering from the migraine. Follow-up reported that the patient had a new puppy with fleas. The pediatrician diagnosed that the rash was due to flea bites and not due to an allergy. The patient was expected to received the second dose in January 2007. No product quality complaint was involved. Additional information is not available.


Changed on 6/14/2014

VAERS ID: 269180 Before After
Age:14.0
Gender:Female
Location:New Jersey
Vaccinated:2006-11-02
Onset:2006-11-03
Submitted:2007-04-06
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthropod bite, Menorrhagia, Migraine, Rash, Urticaria

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: None
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA02908

Write-up:Information has been received from an office manager concerning a 14 year old female who on 02-Nov-2006 was vaccinated intramuscularly in the arm with a 0.5 ml dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). On 03-Nov-2006 the patient started her menses and experienced a migraine. On 06-Nov-2006 the patient experienced a rash on her vaccinated arm which also spread to her face. Unspecified medical attention was sought. The patient was treated with diphenhydramine (BENADRYL) and the rash had subsided. AT the time of report, the patient was recovering from the migraine. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Information has been received from an office manager concerning a 14 year old female with no pertinent medical history who on 02-NOV-2006, at 15:00, was vaccinated intramuscularly in the left arm with a 0.5 ml first dose of GARDASIL. On 03-NOV-2006 the patient started her menses and experienced a migraine. On 06-NOV-2006 the patient developed hives on her vaccinated arm which also spread to her face. Unspecified medical attention was sought. The patient was treated with BENADRYL and the rash had subsided. At the time of report, the patient was recovering from the migraine. Follow-up reported that the patient had a new puppy with fleas. The pediatrician diagnosed that the rash was due to flea bites and not due to an allergy. The patient was expected to received the second dose in January 2007. No product quality complaint was involved. Additional information is not available.


Changed on 5/14/2017

VAERS ID: 269180 Before After
Age:14.0
Gender:Female
Location:New Jersey
Vaccinated:2006-11-02
Onset:2006-11-03
Submitted:2007-04-06
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthropod bite, Menorrhagia, Migraine, Rash, Urticaria

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: None
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA02908

Write-up:Information has been received from an office manager concerning a 14 year old female who on 02-Nov-2006 was vaccinated intramuscularly in the arm with a 0.5 ml dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). On 03-Nov-2006 the patient started her menses and experienced a migraine. On 06-Nov-2006 the patient experienced a rash on her vaccinated arm which also spread to her face. Unspecified medical attention was sought. The patient was treated with diphenhydramine (BENADRYL) and the rash had subsided. AT the time of report, the patient was recovering from the migraine. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Information has been received from an office manager concerning a 14 year old female with no pertinent medical history who on 02-NOV-2006, at 15:00, was vaccinated intramuscularly in the left arm with a 0.5 ml first dose of GARDASIL. On 03-NOV-2006 the patient started her menses and experienced a migraine. On 06-NOV-2006 the patient developed hives on her vaccinated arm which also spread to her face. Unspecified medical attention was sought. The patient was treated with BENADRYL and the rash had subsided. At the time of report, the patient was recovering from the migraine. Follow-up reported that the patient had a new puppy with fleas. The pediatrician diagnosed that the rash was due to flea bites and not due to an allergy. The patient was expected to received the second dose in January 2007. No product quality complaint was involved. Additional information is not available.


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