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This is VAERS ID 270972

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 270972
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-10
Onset:2007-01-10
Submitted:2007-01-19
Entered:2007-01-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Dyspnoea, Erythema, Pruritus, Throat irritation, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC-D, NUVARING, NASAREL
Current Illness: Rhinitis allergic, asthma, gastric ulcer, anemia, migraine
Preexisting Conditions: General symptoms
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner concerning a 24 year old female with allergic rhinitis, asthma, gastric ulcer, anemia and migraine and a /"history of high-risk HPV'''' who on 10-JAN-2007 was vaccinated with the second dose of Gardasi"l vaccine (yeast) (lot#655165/1425F), 0.5 ml, one time, IM. Concomitant therapy included NUVARING, ZYRTEC-D and NASAREL. Initial vaccination of Gardasil vaccine (yeast) was received on 16-NOV-2006. On 10-JAN-2007, the patient developed throat tickle, ches


Changed on 12/8/2009

VAERS ID: 270972 Before After
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-10
Onset:2007-01-10
Submitted:2007-01-19
Entered:2007-01-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dyspnoea, Erythema, Pruritus, Throat irritation, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC-D, NUVARING, NASAREL
Current Illness: Rhinitis allergic, asthma, gastric ulcer, anemia, migraine
Preexisting Conditions: General symptoms
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0701USA01386

Write-up:Information has been received from a nurse practitioner concerning a 24 year old female with allergic rhinitis, asthma, gastric ulcer, anemia and migraine and a /"history "history of high-risk HPV'''' HPV'' who on 10-JAN-2007 was vaccinated with the second dose of Gardasi"l Gardasil vaccine (yeast) (lot#655165/1425F), 0.5 ml, one time, IM. Concomitant therapy included NUVARING, ZYRTEC-D and NASAREL. Initial vaccination of Gardasil vaccine (yeast) was received on 16-NOV-2006. On 10-JAN-2007, the patient developed throat tickle, ches chest redness, itchiness, chest and neck hives and intermittent shortness of breath 15 minutes after administration of Gardasil vaccine (yeast). The patient was administered BENADRYL and the symptoms resolved after 10 minutes. The patient left the office in good condition without residual problems. Throat tickle, chest redness, itchiness, chest and neck hives and intermittent shortness of breath were considered to be other important medical events. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=270972&WAYBACKHISTORY=ON


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