National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 270033

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270033
VAERS Form:
Age:
Gender:Female
Location:Virginia
Vaccinated:2006-12-28
Onset:2006-12-28
Submitted:2006-12-28
Entered:2007-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM

Administered by: Military      Purchased by: Unknown
Symptoms: Pruritus, Rash, Urticaria

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: Depo Provera times 2 years
Current Illness: NONE
Preexisting Conditions: Latex
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:15 minutes after IM injection of Gardasil in right arm. Patient developed hives on her neck right side continued to move up on face. 20 minutes post injection rash and then itching over neck, face and back. Benadryl used IM. Vital signs remained stable.


Changed on 12/8/2009

270033 Before After
VAERS Form:
Age:
Gender:Female
Location:Virginia
Vaccinated:2006-12-28
Onset:2006-12-28
Submitted:2006-12-28
Entered:2007-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM

Administered by: Military      Purchased by: Unknown Military
Symptoms: Pruritus, Rash, Urticaria

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: Depo Provera times 2 years
Current Illness: NONE
Preexisting Conditions: Latex
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:15 minutes after IM injection of Gardasil in right arm. Patient developed hives on her neck right side continued to move up on face. 20 minutes post injection rash and then itching over neck, face and back. Benadryl used IM. Vital signs remained stable.


Changed on 6/14/2014

270033 Before After
VAERS Form:
Age:
Gender:Female
Location:Virginia
Vaccinated:2006-12-28
Onset:2006-12-28
Submitted:2006-12-28
Entered:2007-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Rash, Urticaria

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: Depo Provera times 2 years
Current Illness: NONE
Preexisting Conditions: Latex
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:15 minutes after IM injection of Gardasil in right arm. Patient developed hives on her neck right side continued to move up on face. 20 minutes post injection rash and then itching over neck, face and back. Benadryl used IM. Vital signs remained stable.


Changed on 5/14/2017

270033 Before After
VAERS Form:
Age:
Gender:Female
Location:Virginia
Vaccinated:2006-12-28
Onset:2006-12-28
Submitted:2006-12-28
Entered:2007-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Rash, Urticaria

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: Depo Provera times 2 years
Current Illness: NONE
Preexisting Conditions: Latex
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:15 minutes after IM injection of Gardasil in right arm. Patient developed hives on her neck right side continued to move up on face. 20 minutes post injection rash and then itching over neck, face and back. Benadryl used IM. Vital signs remained stable.


Changed on 9/14/2017

270033 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Virginia
Vaccinated:2006-12-28
Onset:2006-12-28
Submitted:2006-12-28
Entered:2007-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 1 RA / IM

Administered by: Military      Purchased by: Military
Symptoms: Pruritus, Rash, Urticaria

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: Depo Provera times 2 years
Current Illness: NONE
Preexisting Conditions: Latex
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:15 minutes after IM injection of Gardasil in right arm. Patient developed hives on her neck right side continued to move up on face. 20 minutes post injection rash and then itching over neck, face and back. Benadryl used IM. Vital signs remained stable.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=270033&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166