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This is VAERS ID 272351

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272351
VAERS Form:
Age:20.0
Gender:Female
Location:New York
Vaccinated:2007-01-08
Onset:2007-01-10
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Micronor
Current Illness:
Preexisting Conditions: Blood pressure high, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Information has been received from a physician concerning a 20 year old female with high blood pressure and an allergy to sulfa. On 08-Jan-2007, the patient was vaccinated intramuscularly with a first 0.5 ml dose of Gardasil (lot #655619/1427F). Concomita"nt therapy included Micronor. On 10-JAN-2007, the patient developed intermittent hives. The patient sought unspecified medical attention. At the time of this report, the patient had not recovered from the event. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 272351 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:New York
Vaccinated:2007-01-08
Onset:2007-01-10
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Micronor
Current Illness:
Preexisting Conditions: Blood pressure high, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0701USA02390

Write-up: Information has been received from a physician concerning a 20 year old female with high blood pressure and an allergy to sulfa. On 08-Jan-2007, the patient was vaccinated intramuscularly with a first 0.5 ml dose of Gardasil (lot #655619/1427F). Concomita"nt Concomitant therapy included Micronor. On 10-JAN-2007, the patient developed intermittent hives. The patient sought unspecified medical attention. At the time of this report, the patient had not recovered from the event. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 272351 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:New York
Vaccinated:2007-01-08
Onset:2007-01-10
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Micronor
Current Illness:
Preexisting Conditions: Blood pressure high, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA02390

Write-up: Information has been received from a physician concerning a 20 year old female with high blood pressure and an allergy to sulfa. On 08-Jan-2007, the patient was vaccinated intramuscularly with a first 0.5 ml dose of Gardasil (lot #655619/1427F). Concomitant therapy included Micronor. On 10-JAN-2007, the patient developed intermittent hives. The patient sought unspecified medical attention. At the time of this report, the patient had not recovered from the event. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 272351 Before After
VAERS Form:1
Age:20.0
Gender:Female
Location:New York
Vaccinated:2007-01-08
Onset:2007-01-10
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Micronor
Current Illness:
Preexisting Conditions: Blood pressure high, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA02390

Write-up: Information has been received from a physician concerning a 20 year old female with high blood pressure and an allergy to sulfa. On 08-Jan-2007, the patient was vaccinated intramuscularly with a first 0.5 ml dose of Gardasil (lot #655619/1427F). Concomitant therapy included Micronor. On 10-JAN-2007, the patient developed intermittent hives. The patient sought unspecified medical attention. At the time of this report, the patient had not recovered from the event. Additional information has been requested.


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