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This is VAERS ID 270063

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 270063
Age:19.0
Gender:Female
Location:New Jersey
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-01-02
Entered:2007-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Headache, Nausea, Rash, Upper respiratory tract infection, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Oral immunotherapy SLIT
Current Illness: NONE
Preexisting Conditions: Premature twin, environmental allergies.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:12/01/2006 Nausea, headache, urticaria 12/04/2006. URI symptoms developed after rash. Treated with Benadryl, Prednisone, and Zyrtec. Phone call 1 week later, rash completely gone, urticaria due to vaccine VS intercurrent URI.


Changed on 12/8/2009

VAERS ID: 270063 Before After
Age:19.0
Gender:Female
Location:New Jersey
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-01-02
Entered:2007-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Headache, Nausea, Rash, Upper respiratory tract infection, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Oral immunotherapy SLIT
Current Illness: NONE
Preexisting Conditions: Premature twin, environmental allergies.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:12/01/2006 Nausea, headache, urticaria 12/04/2006. URI symptoms developed after rash. Treated with Benadryl, Prednisone, and Zyrtec. Phone call 1 week later, rash completely gone, urticaria due to vaccine VS intercurrent URI.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=270063&WAYBACKHISTORY=ON


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