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This is VAERS ID 270784

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 270784
Age:13.5
Gender:Female
Location:Oregon
Vaccinated:2006-12-22
Onset:2006-12-22
Submitted:2007-01-08
Entered:2007-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Erythema, Pallor, Palpitations, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: History of Dysplasia (hips)
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:5 hours after receiving HPV pt had low grade fever (99), felt dizzy, pale, had a blotchy red rash on both arms (upper) onto back. No rash elevation, no hives. Pt went to bed, rash was gone by am without further side effects. During episode heart was also"pounding.


Changed on 12/8/2009

VAERS ID: 270784 Before After
Age:13.5
Gender:Female
Location:Oregon
Vaccinated:2006-12-22
Onset:2006-12-22
Submitted:2007-01-08
Entered:2007-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dizziness, Erythema, Pallor, Palpitations, Pyrexia, Rash, Rash macular

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: History of Dysplasia (hips)
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:5 hours after receiving HPV pt had low grade fever (99), felt dizzy, pale, had a blotchy red rash on both arms (upper) onto back. No rash elevation, no hives. Pt went to bed, rash was gone by am without further side effects. During episode heart was also"pounding. also pounding.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=270784&WAYBACKHISTORY=ON


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