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This is VAERS ID 269784

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 269784
Age:
Gender:Female
Location:Florida
Vaccinated:2006-12-12
Onset:2006-12-13
Submitted:2006-12-21
Entered:2006-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0961F / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Pruritus, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness:
Preexisting Conditions: Loestrin, Suprax, Pediazol.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed hives starting at injection site and spreading over entire body. + itching. No respiratory symptoms. Patient used Benadryl without relief and was referred to her PCP for follow up.


Changed on 12/8/2009

VAERS ID: 269784 Before After
Age:
Gender:Female
Location:Florida
Vaccinated:2006-12-12
Onset:2006-12-13
Submitted:2006-12-21
Entered:2006-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Pruritus, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness:
Preexisting Conditions: Loestrin, Suprax, Pediazol.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed hives starting at injection site and spreading over entire body. + itching. No respiratory symptoms. Patient used Benadryl without relief and was referred to her PCP for follow up.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269784&WAYBACKHISTORY=ON


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