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This is VAERS ID 272082

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272082
Age:19.0
Gender:Female
Location:Utah
Vaccinated:2007-01-25
Onset:2007-01-28
Submitted:2007-02-09
Entered:2007-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Fatigue, Injection site pain, Pruritus, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a Nurse Practitioner concerning a 19 year old white female who on 25-JAN-2007 was vaccinated intramuscularly with Gardasil (lot number not provided). On 28-JAN-2007 the patient experienced injection site pain and fatigue"and developed pruritus and hives on her whole body. The patient was seen on an unspecified date by her primary care physician (contact information not provided) and treated with Vistaril 50 mg, PO every 6 hours and /"comfort measures/". On an unspecified


Changed on 12/8/2009

VAERS ID: 272082 Before After
Age:19.0
Gender:Female
Location:Utah
Vaccinated:2007-01-25
Onset:2007-01-28
Submitted:2007-02-09
Entered:2007-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Public      Purchased by: Unknown Private
Symptoms: Fatigue, Injection site pain, Pruritus, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0702USA00410

Write-up:Information has been received from a Nurse Practitioner concerning a 19 year old white female who on 25-JAN-2007 was vaccinated intramuscularly with Gardasil (lot number not provided). On 28-JAN-2007 the patient experienced injection site pain and fatigue"and fatigue and developed pruritus and hives on her whole body. The patient was seen on an unspecified date by her primary care physician (contact information not provided) and treated with Vistaril 50 mg, PO every 6 hours and /"comfort measures/". "comfort measures". On an unspecified date the patient was considered to have recovered from the hives, injection site pain and fatigue. The reporter considered the pruritus and hives to be serious other medical events. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272082&WAYBACKHISTORY=ON


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