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This is VAERS ID 271695

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 271695
Age:19.0
Gender:Female
Location:Rhode Island
Vaccinated:2007-01-29
Onset:2007-02-02
Submitted:2007-02-05
Entered:2007-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011UEXP21MAR09 / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Hypersensitivity, Rash pruritic, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoxetine, Zometa, Trisprintec
Current Illness: NONE
Preexisting Conditions: Depression, No prior allergies
Diagnostic Lab Data: Allergic reaction, unspecified
CDC 'Split Type':

Write-up:Patient complained of itchy rash on legs/arms for 3-4 days. She presented 2 days after the shot with raised hives on legs, feet and hands. She was placed on Medrol dose pack, Atarax, 100 1 qd


Changed on 12/8/2009

VAERS ID: 271695 Before After
Age:19.0
Gender:Female
Location:Rhode Island
Vaccinated:2007-01-29
Onset:2007-02-02
Submitted:2007-02-05
Entered:2007-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011UEXP21MAR09 / 0 - / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Hypersensitivity, Rash pruritic, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoxetine, Zometa, Trisprintec
Current Illness: NONE
Preexisting Conditions: Depression, No prior allergies
Diagnostic Lab Data: Allergic reaction, unspecified
CDC 'Split Type':

Write-up:Patient complained of itchy rash on legs/arms for 3-4 days. She presented 2 days after the shot with raised hives on legs, feet and hands. She was placed on Medrol dose pack, Atarax, 100 1 qd


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271695&WAYBACKHISTORY=ON


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