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This is VAERS ID 270112

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270112
VAERS Form:
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-12-26
Onset:2006-12-27
Submitted:2007-01-05
Entered:2007-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Oedema peripheral, Pain, Pruritus, Rash, Eye oedema

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: Adderall, Zoloft, Yasmin, Procardia
Current Illness: none
Preexisting Conditions: Attention deficit disorder, depression, allergy to pediazole
Allergies:
Diagnostic Lab Data: Elevated WBC likely due to steroids.
CDC 'Split Type':

Write-up:Pt given vaccine on 12/26. Began to experience generalized pruritis and mild rash on 12/17. By 12/28 had severe urticarial rash requiring oral steroids. Rash did not improved with steroids and antihistamines, and pt developed edema of hands, feet and eye"s and some respiratory symptoms on 12/31. Given IV decadron with relief by an outside provider. Symptoms improving but persistent mild rash at time of my recent re-evaluation on 1/2/07. Her hands remain sore.


Changed on 12/8/2009

270112 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-12-26
Onset:2006-12-27
Submitted:2007-01-05
Entered:2007-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Oedema peripheral, Pain, Pruritus, Rash, White blood cell count increased, Eye oedema

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: Adderall, Zoloft, Yasmin, Procardia
Current Illness: none
Preexisting Conditions: Attention deficit disorder, depression, allergy to pediazole
Allergies:
Diagnostic Lab Data: Elevated WBC likely due to steroids.
CDC 'Split Type':

Write-up:Pt given vaccine on 12/26. Began to experience generalized pruritis and mild rash on 12/17. By 12/28 had severe urticarial rash requiring oral steroids. Rash did not improved with steroids and antihistamines, and pt developed edema of hands, feet and eye"s eyes and some respiratory symptoms on 12/31. Given IV decadron with relief by an outside provider. Symptoms improving but persistent mild rash at time of my recent re-evaluation on 1/2/07. Her hands remain sore.


Changed on 9/14/2017

270112 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-12-26
Onset:2006-12-27
Submitted:2007-01-05
Entered:2007-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Oedema peripheral, Pain, Pruritus, Rash, White blood cell count increased, Eye oedema

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: Adderall, Zoloft, Yasmin, Procardia
Current Illness: none
Preexisting Conditions: Attention deficit disorder, depression, allergy to pediazole
Allergies:
Diagnostic Lab Data: Elevated WBC likely due to steroids.
CDC 'Split Type':

Write-up:Pt given vaccine on 12/26. Began to experience generalized pruritis and mild rash on 12/17. By 12/28 had severe urticarial rash requiring oral steroids. Rash did not improved with steroids and antihistamines, and pt developed edema of hands, feet and eyes and some respiratory symptoms on 12/31. Given IV decadron with relief by an outside provider. Symptoms improving but persistent mild rash at time of my recent re-evaluation on 1/2/07. Her hands remain sore.


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