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This is VAERS ID 269216

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 269216
Age:
Gender:Female
Location:Pennsylvania
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Pruritus

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 a nurse practitioner concerning a female (age not reported) who on approximately 01 Nov 2006 was vaccinated with the first dose of HPV vaccine. On approximately 01 Nov 2006, the patient developed total body itching. The"patient sought unspecified medical attention. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 269216 Before After
Age:
Gender:Female
Location:Pennsylvania
Vaccinated:2006-11-01
Onset:2006-11-01
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. - / 0 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Pruritus

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) WAES0611USA05836

Write-up:Information has been received from a nurse practitioner concerning a female (age not reported) who on approximately 01 Nov 2006 was vaccinated with the first dose of HPV vaccine. On approximately 01 Nov 2006, the patient developed total body itching. The"patient The patient sought unspecified medical attention. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269216&WAYBACKHISTORY=ON


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