National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 271129

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 271129
Age:19.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-12-15
Onset:2006-12-15
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Rash pruritic, Laboratory test

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: diagnostic laboratory 12/??/06 - results not provided
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 19 year old female with no persistent medical history or drug reactions/allergies, who on 15-Dec-2006 was vaccinated with Gardasil vaccine (yeast) (0.5 ml0. There was no concomitant medication. O"n 15-Dec-2006, following, vaccination, the patient developed a red itchy rash /"all over/". Unspecified medication attention was sought. At the time of this report the patient had not recovered. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 271129 Before After
Age:19.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-12-15
Onset:2006-12-15
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Rash pruritic, Laboratory test

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: diagnostic laboratory 12/??/06 - results not provided
CDC 'Split Type': (blank) WAES0612USA02967

Write-up:Information has been received from a physician concerning a 19 year old female with no persistent medical history or drug reactions/allergies, who on 15-Dec-2006 was vaccinated with Gardasil vaccine (yeast) (0.5 ml0. There was no concomitant medication. O"n On 15-Dec-2006, following, vaccination, the patient developed a red itchy rash /"all over/". "all over". Unspecified medication attention was sought. At the time of this report the patient had not recovered. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 271129 Before After
Age:19.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-12-15
Onset:2006-12-15
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / - UN

Administered by: Other      Purchased by: Other
Symptoms: Rash pruritic, Laboratory test

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: diagnostic laboratory 12/??/06 - results not provided
CDC 'Split Type': WAES0612USA02967

Write-up:Information has been received from a physician concerning a 19 year old female with no persistent medical history or drug reactions/allergies, who on 15-Dec-2006 was vaccinated with Gardasil vaccine (yeast) (0.5 ml0. ml). There was no concomitant medication. On 15-Dec-2006, following, following vaccination, the patient developed a red itchy rash "all over". Unspecified medication attention was sought. At the time of this report the patient had not recovered. Additional No additional information has been requested. is available.


Changed on 6/14/2014

VAERS ID: 271129 Before After
Age:19.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-12-15
Onset:2006-12-15
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Rash pruritic, Laboratory test

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: diagnostic laboratory 12/??/06 - results not provided
CDC 'Split Type': WAES0612USA02967

Write-up:Information has been received from a physician concerning a 19 year old female with no persistent medical history or drug reactions/allergies, who on 15-Dec-2006 was vaccinated with Gardasil vaccine (yeast) (0.5 ml). There was no concomitant medication. On 15-Dec-2006, following vaccination, the patient developed a red itchy rash "all over". Unspecified medication attention was sought. At the time of this report the patient had not recovered. No additional information is available.


Changed on 5/14/2017

VAERS ID: 271129 Before After
Age:19.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-12-15
Onset:2006-12-15
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Rash pruritic, Laboratory test

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: diagnostic laboratory 12/??/06 - results not provided
CDC 'Split Type': WAES0612USA02967

Write-up:Information has been received from a physician concerning a 19 year old female with no persistent medical history or drug reactions/allergies, who on 15-Dec-2006 was vaccinated with Gardasil vaccine (yeast) (0.5 ml). There was no concomitant medication. On 15-Dec-2006, following vaccination, the patient developed a red itchy rash "all over". Unspecified medication attention was sought. At the time of this report the patient had not recovered. No additional information is available.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271129&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166