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This is VAERS ID 271650

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271650
VAERS Form:
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-01-09
Onset:2007-01-14
Submitted:2007-02-02
Entered:2007-02-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:5 days after being administered the 2nd in a series of Gardasil developed hives requiring Benadryl and a visit to local ER. No facial edema, difficulty breathing or SOB occurred


Changed on 12/8/2009

271650 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-01-09
Onset:2007-01-14
Submitted:2007-02-02
Entered:2007-02-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:5 days after being administered the 2nd in a series of Gardasil developed hives requiring Benadryl and a visit to local ER. No facial edema, difficulty breathing or SOB occurred


Changed on 9/14/2017

271650 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-01-09
Onset:2007-01-14
Submitted:2007-02-02
Entered:2007-02-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - UNK RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:5 days after being administered the 2nd in a series of Gardasil developed hives requiring Benadryl and a visit to local ER. No facial edema, difficulty breathing or SOB occurred


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271650&WAYBACKHISTORY=ON


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