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This is VAERS ID 271695

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271695
VAERS Form:
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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoxetine, Zometa, Trisprintec
Current Illness: NONE
Preexisting Conditions: Depression, No prior allergies
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

271695 Before After
VAERS Form:
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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoxetine, Zometa, Trisprintec
Current Illness: NONE
Preexisting Conditions: Depression, No prior allergies
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 9/14/2017

271695 Before After
VAERS Form:(blank) 1
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 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Hypersensitivity, Rash pruritic, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoxetine, Zometa, Trisprintec
Current Illness: NONE
Preexisting Conditions: Depression, No prior allergies
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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