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This is VAERS ID 272245

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272245
VAERS Form:
Age:16.0
Gender:Female
Location:Tennessee
Vaccinated:2007-02-09
Onset:2007-02-10
Submitted:2007-02-14
Entered:2007-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Oedema, Pruritus, Rash

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: oral contraceptives
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:16 year old female developed edema, rash and pruritus within 24 hours of receiving second Gardasil shot.


Changed on 9/14/2017

272245 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Tennessee
Vaccinated:2007-02-09
Onset:2007-02-10
Submitted:2007-02-14
Entered:2007-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 2 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Oedema, Pruritus, Rash

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: oral contraceptives
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:16 year old female developed edema, rash and pruritus within 24 hours of receiving second Gardasil shot.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272245&WAYBACKHISTORY=ON


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