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This is VAERS ID 271178

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271178
VAERS Form:
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-01-24
Entered:2007-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Arthralgia, Dermographism, Gait disturbance, Oedema peripheral, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: diagnostic laboratory 01/11?/07 - results not reported
CDC 'Split Type':

Write-up:Information has been received from a physician concerning her 20 year old daughter who on 11-JAN-2007 was vaccinated IM with a 0.5 ml dose of Gardasil vaccine (yeast) (lot#653938/0954F). Concomitant therapy included Yasmin. On 11-JAN-2007, fifteen minutes"after the vaccination, welts appeared on the patient''''s neck and spread all over the body. Dermatographia resulted all over the patient''''s body, her hands and feet were swollen, and she experienced arthritic pain in her joints. It was reported that the pa


Changed on 12/8/2009

271178 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-01-24
Entered:2007-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / - - UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Arthralgia, Dermographism, Gait disturbance, Oedema peripheral, Urticaria, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: diagnostic laboratory 01/11?/07 - results not reported
CDC 'Split Type': (blank) WAES0701USA01948

Write-up:Information has been received from a physician concerning her 20 year old daughter who on 11-JAN-2007 was vaccinated IM with a 0.5 ml dose of Gardasil GARDASIL vaccine (yeast) (lot#653938/0954F). Concomitant therapy included Yasmin. On 11-JAN-2007, fifteen minutes"after minutes after the vaccination, welts appeared on the patient''''s patient''s neck and spread all over the body. Dermatographia resulted all over the patient''''s patient''s body, her hands and feet were swollen, and she experienced arthritic pain in her joints. It was reported that the pa patient was not able to walk because of the pain. The patient was treated with Zyrtec, dexamethasone and hydroxyzine. Unspecified blood tests were performed (results not reported). At the time of this report, the patient was not recovered. Welts, dermatographia, peripheral swelling, arthritic-like joint pain and the patient''s inability to walk were considered to be disabling events. Additional information has been requested.


Changed on 9/14/2017

271178 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-01-24
Entered:2007-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / - UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Dermographism, Gait disturbance, Oedema peripheral, Urticaria, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: diagnostic laboratory 01/11?/07 - results not reported
CDC 'Split Type': WAES0701USA01948

Write-up:Information has been received from a physician concerning her 20 year old daughter who on 11-JAN-2007 was vaccinated IM with a 0.5 ml dose of GARDASIL vaccine (yeast) (lot#653938/0954F). Concomitant therapy included Yasmin. On 11-JAN-2007, fifteen minutes after the vaccination, welts appeared on the patient''s neck and spread all over the body. Dermatographia resulted all over the patient''s body, her hands and feet were swollen, and she experienced arthritic pain in her joints. It was reported that the patient was not able to walk because of the pain. The patient was treated with Zyrtec, dexamethasone and hydroxyzine. Unspecified blood tests were performed (results not reported). At the time of this report, the patient was not recovered. Welts, dermatographia, peripheral swelling, arthritic-like joint pain and the patient''s inability to walk were considered to be disabling events. Additional information has been requested.


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