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This is VAERS ID 270033

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 270033
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Depo Provera times 2 years
Current Illness: NONE
Preexisting Conditions: Latex
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

VAERS ID: 270033 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Depo Provera times 2 years
Current Illness: NONE
Preexisting Conditions: Latex
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

VAERS ID: 270033 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Depo Provera times 2 years
Current Illness: NONE
Preexisting Conditions: Latex
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

VAERS ID: 270033 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Depo Provera times 2 years
Current Illness: NONE
Preexisting Conditions: Latex
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.


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


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