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This is VAERS ID 270358

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270358
VAERS Form:
Age:12.0
Gender:Female
Location:Connecticut
Vaccinated:2007-01-09
Onset:2007-01-09
Submitted:2007-01-10
Entered:2007-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1213F / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Hives


Changed on 12/8/2009

270358 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Connecticut
Vaccinated:2007-01-09
Onset:2007-01-09
Submitted:2007-01-10
Entered:2007-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1213F / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Hives


Changed on 9/14/2017

270358 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Connecticut
Vaccinated:2007-01-09
Onset:2007-01-09
Submitted:2007-01-10
Entered:2007-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1213F / 0 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Hives


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=270358&WAYBACKHISTORY=ON


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