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This is VAERS ID 269692

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

269692
VAERS Form:
Age:18.0
Gender:Female
Location:Florida
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:0000-00-00
Entered:2006-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0637F / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Chills, Pain, Rash, Rash macular, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Allergies:
Diagnostic Lab Data: complete blood count, PT/PTT
CDC 'Split Type':

Write-up:The patient presented to the ER complained of rash, pain, swelling to lower extremities bilaterally. She had developed a maculopapular rash after the vaccination. She was discharged home on Percoat/Prednisone. Chills and unable to walk.


Changed on 12/8/2009

269692 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Florida
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:0000-00-00
Entered:2006-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Chills, Pain, Rash, Rash macular, Swelling, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Allergies:
Diagnostic Lab Data: complete blood count, PT/PTT
CDC 'Split Type':

Write-up:The patient presented to the ER complained of rash, pain, swelling to lower extremities bilaterally. She had developed a maculopapular rash after the vaccination. She was discharged home on Percoat/Prednisone. Chills and unable to walk.


Changed on 9/14/2017

269692 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Florida
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:0000-00-00
Entered:2006-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Chills, Pain, Rash, Rash macular, Swelling, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Allergies:
Diagnostic Lab Data: complete blood count, PT/PTT
CDC 'Split Type':

Write-up:The patient presented to the ER complained of rash, pain, swelling to lower extremities bilaterally. She had developed a maculopapular rash after the vaccination. She was discharged home on Percoat/Prednisone. Chills and unable to walk.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269692&WAYBACKHISTORY=ON


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