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This is VAERS ID 269346

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

269346
VAERS Form:
Age:21.0
Gender:Female
Location:California
Vaccinated:2006-11-22
Onset:2006-11-26
Submitted:2006-12-19
Entered:2006-12-19
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: Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Allergies-Anox, penicillin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Itching of entire body 4-5 days after vaccination on 11/22/06. Has continued on and off since then.


Changed on 12/8/2009

269346 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:California
Vaccinated:2006-11-22
Onset:2006-11-26
Submitted:2006-12-19
Entered:2006-12-19
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: Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Allergies-Anox, penicillin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Itching of entire body 4-5 days after vaccination on 11/22/06. Has continued on and off since then.


Changed on 9/14/2017

269346 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:California
Vaccinated:2006-11-22
Onset:2006-11-26
Submitted:2006-12-19
Entered:2006-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Allergies-Anox, penicillin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Itching of entire body 4-5 days after vaccination on 11/22/06. Has continued on and off since then.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269346&WAYBACKHISTORY=ON


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