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This is VAERS ID 271128

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 271128
Age:51.0
Gender:Female
Location:Florida
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Drug hypersensitivity, Face oedema, Lip swelling, Myalgia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN
Current Illness:
Preexisting Conditions: HYPERSENSITIVITY
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 51 year old female with an allergy to benzoyl peroxide who on 11-Dec-2006 was vaccinated intramuscularly with the first dose of Gardasil vaccine (yeast). Concomitant therapy included Yasmi"n. On 14-Dec-2006 the patient began to experience muscle aches, and on 17-Dec-2006 the patient began experiencing swelling of her face and lips, but no rash. The patient treated herself with Benadryl and was scheduled to see her physician on 18-Dec-2006.


Changed on 12/8/2009

VAERS ID: 271128 Before After
Age:51.0
Gender:Female
Location:Florida
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Drug hypersensitivity, Face oedema, Lip swelling, Myalgia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN
Current Illness:
Preexisting Conditions: HYPERSENSITIVITY
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0612USA02952

Write-up:Information has been received from a registered nurse concerning a 51 year old female with an allergy to benzoyl peroxide who on 11-Dec-2006 was vaccinated intramuscularly with the first dose of Gardasil vaccine (yeast). Concomitant therapy included Yasmi"n. Yasmin. On 14-Dec-2006 the patient began to experience muscle aches, and on 17-Dec-2006 the patient began experiencing swelling of her face and lips, but no rash. The patient treated herself with Benadryl and was scheduled to see her physician on 18-Dec-2006. At the time of this report, the muscle aches and swelling of her face and lips persisted. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 271128 Before After
Age:51.0
Gender:Female
Location:Florida
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0637F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Drug hypersensitivity, Face oedema, Lip swelling, Myalgia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN
Current Illness:
Preexisting Conditions: HYPERSENSITIVITY
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA02952

Write-up:Information has been received from a registered nurse concerning a 51 year old female with an allergy to benzoyl peroxide who on 11-Dec-2006 was vaccinated intramuscularly with the first dose of Gardasil vaccine (yeast). Concomitant therapy included Yasmin. On 14-Dec-2006 the patient began to experience muscle aches, and on 17-Dec-2006 the patient began experiencing swelling of her face and lips, but no rash. The patient treated herself with Benadryl and was scheduled to see her physician on 18-Dec-2006. At the time of this report, the muscle aches and swelling of her face and lips persisted. Additional information has been requested.


Changed on 8/31/2010

VAERS ID: 271128 Before After
Age:51.0
Gender:Female
Location:Florida
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Drug hypersensitivity, Face oedema, Lip swelling, Myalgia, Swelling face

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN
Current Illness:
Preexisting Conditions: HYPERSENSITIVITY
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA02952

Write-up:Information has been received from a registered nurse concerning a 51 year old female with an allergy to benzoyl peroxide who on 11-Dec-2006 was vaccinated intramuscularly with the first dose of Gardasil vaccine (yeast). Concomitant therapy included Yasmin. On 14-Dec-2006 the patient began to experience muscle aches, and on 17-Dec-2006 the patient began experiencing swelling of her face and lips, but no rash. The patient treated herself with Benadryl and was scheduled to see her physician on 18-Dec-2006. At the time of this report, the muscle aches and swelling of her face and lips persisted. Additional information has been requested.


Changed on 1/4/2011

VAERS ID: 271128 Before After
Age:51.0
Gender:Female
Location:Florida
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Drug hypersensitivity, Face oedema, Lip swelling, Myalgia, Swelling face

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN
Current Illness:
Preexisting Conditions: HYPERSENSITIVITY
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA02952

Write-up:Information has been received from a registered nurse concerning a 51 year old female with an allergy to benzoyl peroxide who on 11-Dec-2006 was vaccinated intramuscularly with the first dose of Gardasil vaccine (yeast). Concomitant therapy included Yasmin. On 14-Dec-2006 the patient began to experience muscle aches, and on 17-Dec-2006 the patient began experiencing swelling of her face and lips, but no rash. The patient treated herself with Benadryl and was scheduled to see her physician on 18-Dec-2006. At the time of this report, the muscle aches and swelling of her face and lips persisted. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 271128 Before After
Age:51.0
Gender:Female
Location:Florida
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Drug hypersensitivity, Face oedema, Lip swelling, Myalgia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN
Current Illness:
Preexisting Conditions: HYPERSENSITIVITY
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA02952

Write-up:Information has been received from a registered nurse concerning a 51 year old female with an allergy to benzoyl peroxide who on 11-Dec-2006 was vaccinated intramuscularly with the first dose of Gardasil vaccine (yeast). Concomitant therapy included Yasmin. On 14-Dec-2006 the patient began to experience muscle aches, and on 17-Dec-2006 the patient began experiencing swelling of her face and lips, but no rash. The patient treated herself with Benadryl and was scheduled to see her physician on 18-Dec-2006. At the time of this report, the muscle aches and swelling of her face and lips persisted. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 271128 Before After
Age:51.0
Gender:Female
Location:Florida
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Drug hypersensitivity, Face oedema, Lip swelling, Myalgia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN
Current Illness:
Preexisting Conditions: HYPERSENSITIVITY
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA02952

Write-up:Information has been received from a registered nurse concerning a 51 year old female with an allergy to benzoyl peroxide who on 11-Dec-2006 was vaccinated intramuscularly with the first dose of Gardasil vaccine (yeast). Concomitant therapy included Yasmin. On 14-Dec-2006 the patient began to experience muscle aches, and on 17-Dec-2006 the patient began experiencing swelling of her face and lips, but no rash. The patient treated herself with Benadryl and was scheduled to see her physician on 18-Dec-2006. At the time of this report, the muscle aches and swelling of her face and lips persisted. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271128&WAYBACKHISTORY=ON


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