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This is VAERS ID 269916

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 269916
Age:31.0
Gender:Female
Location:New York
Vaccinated:2006-12-18
Onset:2006-12-18
Submitted:0000-00-00
Entered:2007-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1161F / 0 LA / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergic to depacote, Lortab, nuerontin, valicum,
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt called 12/20/06 and reported that on the evening of 12/18/06 she developed generalized itching and hives, no other symptoms. She was instructed to take 25mg Benadryl Q 6H when needed. No further vaccinations will be administered per Dr.


Changed on 3/2/2010

VAERS ID: 269916 Before After
Age:31.0
Gender:Female
Location:New York
Vaccinated:2006-12-18
Onset:2006-12-18
Submitted:0000-00-00
Entered:2007-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1161F / 0 LA / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None Drug hypersensitivity
Preexisting Conditions: Allergic to depacote, Lortab, nuerontin, valicum,
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Pt called 12/20/06 and reported that on the evening of 12/18/06 she developed generalized itching and hives, no other symptoms. She was instructed to take 25mg Benadryl Q 6H when needed. No further vaccinations will be administered per Dr. Dr.p report has been received from a registered nurse concernng a 31 year old female with drug allergies to DEPAKOTE, LORTAS, NEURONTIN, VALIUM and FIORICET. On 18-DEC-2006 (also reported as 18-DEC-1976) the patient was vaccinated with her first dose of GARDASIL (Lot number 65450/1161F) intramuscularly in the left deltoid. On 18-DEC-2006 in the eveneing, the patient experienced generalized itching and hives. The patient was instructed to take BENADRYL 25 mg every 6-8 hours until the itching subsided. The patient was informed that she will not be receiving the additional 2 vaccinations. Additional informationis not expected.


Changed on 4/7/2010

VAERS ID: 269916 Before After
Age:31.0
Gender:Female
Location:New York
Vaccinated:2006-12-18
Onset:2006-12-18
Submitted:0000-00-00
Entered:2007-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1161F / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Urticaria, Pruritus generalised

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None Drug hypersensitivity
Preexisting Conditions: Allergic to depacote, Lortab, nuerontin, valicum,
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Pt called 12/20/06 and reported that on the evening of 12/18/06 she developed generalized itching and hives, no other symptoms. She was instructed to take 25mg Benadryl Q 6H when needed. No further vaccinations will be administered per Dr.p report has been received from a registered nurse concernng a 31 year old female with drug allergies to DEPAKOTE, LORTAS, NEURONTIN, VALIUM and FIORICET. On 18-DEC-2006 (also reported as 18-DEC-1976) the patient was vaccinated with her first dose of GARDASIL (Lot number 65450/1161F) intramuscularly in the left deltoid. On 18-DEC-2006 in the eveneing, the patient experienced generalized itching and hives. The patient was instructed to take BENADRYL 25 mg every 6-8 hours until the itching subsided. The patient was informed that she will not be receiving the additional 2 vaccinations. Additional informationis not expected.


Changed on 7/31/2010

VAERS ID: 269916 Before After
Age:31.0
Gender:Female
Location:New York
Vaccinated:2006-12-18
Onset:2006-12-18
Submitted:0000-00-00
Entered:2007-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1161F / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Urticaria, Pruritus generalised

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None Drug hypersensitivity
Preexisting Conditions: Allergic to depacote, Lortab, nuerontin, valicum,
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Pt called 12/20/06 and reported that on the evening of 12/18/06 she developed generalized itching and hives, no other symptoms. She was instructed to take 25mg Benadryl Q 6H when needed. No further vaccinations will be administered per Dr.p report has been received from a registered nurse concernng a 31 year old female with drug allergies to DEPAKOTE, LORTAS, NEURONTIN, VALIUM and FIORICET. On 18-DEC-2006 (also reported as 18-DEC-1976) the patient was vaccinated with her first dose of GARDASIL (Lot number 65450/1161F) intramuscularly in the left deltoid. On 18-DEC-2006 in the eveneing, the patient experienced generalized itching and hives. The patient was instructed to take BENADRYL 25 mg every 6-8 hours until the itching subsided. The patient was informed that she will not be receiving the additional 2 vaccinations. Additional informationis not expected.


Changed on 6/14/2014

VAERS ID: 269916 Before After
Age:31.0
Gender:Female
Location:New York
Vaccinated:2006-12-18
Onset:2006-12-18
Submitted:0000-00-00
Entered:2007-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1161F / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Urticaria, Pruritus generalised

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None Drug hypersensitivity
Preexisting Conditions: Allergic to depacote, Lortab, nuerontin, valicum,
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Pt called 12/20/06 and reported that on the evening of 12/18/06 she developed generalized itching and hives, no other symptoms. She was instructed to take 25mg Benadryl Q 6H when needed. No further vaccinations will be administered per Dr.p report has been received from a registered nurse concernng a 31 year old female with drug allergies to DEPAKOTE, LORTAS, NEURONTIN, VALIUM and FIORICET. On 18-DEC-2006 (also reported as 18-DEC-1976) the patient was vaccinated with her first dose of GARDASIL (Lot number 65450/1161F) intramuscularly in the left deltoid. On 18-DEC-2006 in the eveneing, the patient experienced generalized itching and hives. The patient was instructed to take BENADRYL 25 mg every 6-8 hours until the itching subsided. The patient was informed that she will not be receiving the additional 2 vaccinations. Additional informationis not expected.


Changed on 5/14/2017

VAERS ID: 269916 Before After
Age:31.0
Gender:Female
Location:New York
Vaccinated:2006-12-18
Onset:2006-12-18
Submitted:0000-00-00
Entered:2007-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1161F / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Urticaria, Pruritus generalised

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None Drug hypersensitivity
Preexisting Conditions: Allergic to depacote, Lortab, nuerontin, valicum,
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Pt called 12/20/06 and reported that on the evening of 12/18/06 she developed generalized itching and hives, no other symptoms. She was instructed to take 25mg Benadryl Q 6H when needed. No further vaccinations will be administered per Dr.p report has been received from a registered nurse concernng a 31 year old female with drug allergies to DEPAKOTE, LORTAS, NEURONTIN, VALIUM and FIORICET. On 18-DEC-2006 (also reported as 18-DEC-1976) the patient was vaccinated with her first dose of GARDASIL (Lot number 65450/1161F) intramuscularly in the left deltoid. On 18-DEC-2006 in the eveneing, the patient experienced generalized itching and hives. The patient was instructed to take BENADRYL 25 mg every 6-8 hours until the itching subsided. The patient was informed that she will not be receiving the additional 2 vaccinations. Additional informationis not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269916&WAYBACKHISTORY=ON


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