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This is VAERS ID 270301

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270301
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-15
Onset:0000-00-00
Submitted:2007-01-08
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site erythema, Pruritus, 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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner concerning a 19 year old female who on 15 Dec 2006 was vaccainted with her first dose of HPV Vaccine. Subsequently the patient experienced welts on her legs, itching and redness of her injection site"arm. The patient was treated with BENADRYL, and she recovered. The patient sought unspecified medical attention. The reporter considered the patient''''s welts on her legs, itching and redness of her injection site arm to be other important medical events.


Changed on 12/8/2009

270301 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-15
Onset:0000-00-00
Submitted:2007-01-08
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site erythema, Pruritus, 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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0701USA00254

Write-up:Information has been received from a nurse practitioner concerning a 19 year old female who on 15 Dec 2006 was vaccainted with her first dose of HPV Vaccine. Subsequently the patient experienced welts on her legs, itching and redness of her injection site"arm. site arm. The patient was treated with BENADRYL, and she recovered. The patient sought unspecified medical attention. The reporter considered the patient''''s patient''s welts on her legs, itching and redness of her injection site arm to be other important medical events. Additional information has been requested.


Changed on 1/5/2010

270301 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-15
Onset:0000-00-00
Submitted:2007-01-08
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0955F / 0 UN / -

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Pruritus, 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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0701USA00254

Write-up:Information has been received from a nurse practitioner concerning a 19 year old female who on 15 Dec 2006 was vaccainted with her first dose of HPV Vaccine. Subsequently the patient experienced welts on her legs, itching and redness of her injection site arm. The patient was treated with BENADRYL, and she recovered. The patient sought unspecified medical attention. The reporter considered the patient''s welts on her legs, itching and redness of her injection site arm to be other important medical events. Additional information has been requested.


Changed on 6/14/2014

270301 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-15
Onset:0000-00-00
Submitted:2007-01-08
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 UN / -

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Pruritus, 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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0701USA00254

Write-up:Information has been received from a nurse practitioner concerning a 19 year old female who on 15 Dec 2006 was vaccainted with her first dose of HPV Vaccine. Subsequently the patient experienced welts on her legs, itching and redness of her injection site arm. The patient was treated with BENADRYL, and she recovered. The patient sought unspecified medical attention. The reporter considered the patient''s welts on her legs, itching and redness of her injection site arm to be other important medical events. Additional information has been requested.


Changed on 5/14/2017

270301 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-15
Onset:0000-00-00
Submitted:2007-01-08
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 UN / -

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Pruritus, 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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0701USA00254

Write-up:Information has been received from a nurse practitioner concerning a 19 year old female who on 15 Dec 2006 was vaccainted with her first dose of HPV Vaccine. Subsequently the patient experienced welts on her legs, itching and redness of her injection site arm. The patient was treated with BENADRYL, and she recovered. The patient sought unspecified medical attention. The reporter considered the patient''s welts on her legs, itching and redness of her injection site arm to be other important medical events. Additional information has been requested.


Changed on 9/14/2017

270301 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-15
Onset:0000-00-00
Submitted:2007-01-08
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 1 UN / -

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Pruritus, 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: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0701USA00254

Write-up:Information has been received from a nurse practitioner concerning a 19 year old female who on 15 Dec 2006 was vaccainted with her first dose of HPV Vaccine. Subsequently the patient experienced welts on her legs, itching and redness of her injection site arm. The patient was treated with BENADRYL, and she recovered. The patient sought unspecified medical attention. The reporter considered the patient''s welts on her legs, itching and redness of her injection site arm to be other important medical events. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=270301&WAYBACKHISTORY=ON


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