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This is VAERS ID 270405

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270405
VAERS Form:
Age:21.0
Gender:Female
Location:Idaho
Vaccinated:2006-11-20
Onset:2006-12-05
Submitted:2007-01-11
Entered:2007-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alopecia, Pruritus, Thermal burn

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions: Postpartum x 8 weeks when vaccinated
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:States feeling like her head was burning and itching. States hair has been steadily been falling out starting 2 weeks post vaccine and continuing over the past two months.


Changed on 2/5/2010

270405 Before After
VAERS Form:
Age:21.0 20.0
Gender:Female
Location:Idaho
Vaccinated:2006-11-20
Onset:2006-12-05
Submitted:2007-01-11
Entered:2007-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alopecia, Pruritus, Thermal burn

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions: Postpartum x 8 weeks when vaccinated
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:States feeling like her head was burning and itching. States hair has been steadily been falling out starting 2 weeks post vaccine and continuing over the past two months.


Changed on 9/14/2017

270405 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:Idaho
Vaccinated:2006-11-20
Onset:2006-12-05
Submitted:2007-01-11
Entered:2007-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Alopecia, Pruritus, Thermal burn

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions: Postpartum x 8 weeks when vaccinated
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:States feeling like her head was burning and itching. States hair has been steadily been falling out starting 2 weeks post vaccine and continuing over the past two months.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=270405&WAYBACKHISTORY=ON


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