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This is VAERS ID 272352

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272352
Age:26.0
Gender:Female
Location:Washington
Vaccinated:2007-01-15
Onset:2007-01-15
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: corticosteroids, hormonal contraceptives
Current Illness:
Preexisting Conditions: drug hypersensitivity
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a 26 year old female with a drug hypersensitivity to tetracycline, prochlorperazine maleate (COMPAZINE) and doxycycline and no other pertinent medical history reported. On 15-JAN-2007, the patient was vaccinated intramus"cularly with HPV rL1 6 12 16 18 VLP vaccine (yeast). Concomitant therapy included a /"steroid shot/" and unspecified hormonal contraceptives. On 15-JAN-2007, the patient developed a terrible rash. The patient sought unspecified medical attention. At the


Changed on 12/8/2009

VAERS ID: 272352 Before After
Age:26.0
Gender:Female
Location:Washington
Vaccinated:2007-01-15
Onset:2007-01-15
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: corticosteroids, hormonal contraceptives
Current Illness:
Preexisting Conditions: drug hypersensitivity
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0701USA02393

Write-up:Information has been received from a 26 year old female with a drug hypersensitivity to tetracycline, prochlorperazine maleate (COMPAZINE) and doxycycline and no other pertinent medical history reported. On 15-JAN-2007, the patient was vaccinated intramus"cularly intramuscularly with HPV rL1 6 12 16 18 VLP vaccine (yeast). Concomitant therapy included a /"steroid shot/" "steroid shot" and unspecified hormonal contraceptives. On 15-JAN-2007, the patient developed a terrible rash. 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 2/5/2010

VAERS ID: 272352 Before After
Age:26.0
Gender:Female
Location:Washington
Vaccinated:2007-01-15
Onset:2007-01-15
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 1425F / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: corticosteroids, hormonal contraceptives
Current Illness:
Preexisting Conditions: drug hypersensitivity
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA02393

Write-up:Information has been received from a 26 year old female with a drug hypersensitivity to tetracycline, prochlorperazine maleate (COMPAZINE) and doxycycline and no other pertinent medical history reported. On 15-JAN-2007, the patient was vaccinated intramuscularly with HPV rL1 6 12 16 18 VLP vaccine (yeast). Concomitant therapy included a "steroid shot" and unspecified hormonal contraceptives. On 15-JAN-2007, the patient developed a terrible rash. 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 5/11/2010

VAERS ID: 272352 Before After
Age:26.0
Gender:Female
Location:Washington
Vaccinated:2007-01-15
Onset:2007-01-15
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / - 0 - RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: corticosteroids, hormonal Corticosteroids (unspecified); Hormonal contraceptives
Current Illness: Drug hypersensitivity
Preexisting Conditions: drug hypersensitivity
Diagnostic Lab Data: NONE None
CDC 'Split Type': WAES0701USA02393

Write-up:Information Initial an dfollow up information has been received from a physicia''s assistant and a 26 year old female with a drug hypersensitivity to tetracycline, prochlorperazine maleate (COMPAZINE) and doxycycline and no other pertinent medical history reported. On 15-JAN-2007, at 8:03 AM, the patient was vaccinated intramuscularly in the right deltoid with HPV rL1 6 12 16 18 VLP the first dose of GARDASIL vaccine (yeast). (Lot# 655165/1425F). Concomitant therapy included a "steroid shot" and unspecified hormonal contraceptives. On 15-JAN-2007, the patient developed a terrible rash. 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. This is in follow-up to report previously received on 2/14/2007. There were no illnesses noted at the time of vaccination. That same day, the patient developed a terrible rash. On 16-JAN-2007, the patient went to the emergency room and was treated with unspecified steroids. On 17-JAN-2007, the patient followed up with the physician assistant and there was no significant rash noted at the time. At the time of this report, the patient had recovered fromthe event (date unknown). Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 272352 Before After
Age:26.0
Gender:Female
Location:Washington
Vaccinated:2007-01-15
Onset:2007-01-15
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Corticosteroids (unspecified); Hormonal contraceptives
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0701USA02393

Write-up:Initial an dfollow up information has been received from a physicia''s assistant and a 26 year old female with a drug hypersensitivity to tetracycline, prochlorperazine maleate (COMPAZINE) and doxycycline and no other pertinent medical history reported. On 15-JAN-2007, at 8:03 AM, the patient was vaccinated intramuscularly in the right deltoid with the first dose of GARDASIL vaccine (Lot# 655165/1425F). Concomitant therapy included a "steroid shot" and unspecified hormonal contraceptives. On 15-JAN-2007, the patient developed a terrible rash. 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. This is in follow-up to report previously received on 2/14/2007. There were no illnesses noted at the time of vaccination. That same day, the patient developed a terrible rash. On 16-JAN-2007, the patient went to the emergency room and was treated with unspecified steroids. On 17-JAN-2007, the patient followed up with the physician assistant and there was no significant rash noted at the time. At the time of this report, the patient had recovered fromthe event (date unknown). Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 272352 Before After
Age:26.0
Gender:Female
Location:Washington
Vaccinated:2007-01-15
Onset:2007-01-15
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Corticosteroids (unspecified); Hormonal contraceptives
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0701USA02393

Write-up:Initial an dfollow up information has been received from a physicia''s assistant and a 26 year old female with a drug hypersensitivity to tetracycline, prochlorperazine maleate (COMPAZINE) and doxycycline and no other pertinent medical history reported. On 15-JAN-2007, at 8:03 AM, the patient was vaccinated intramuscularly in the right deltoid with the first dose of GARDASIL vaccine (Lot# 655165/1425F). Concomitant therapy included a "steroid shot" and unspecified hormonal contraceptives. On 15-JAN-2007, the patient developed a terrible rash. 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. This is in follow-up to report previously received on 2/14/2007. There were no illnesses noted at the time of vaccination. That same day, the patient developed a terrible rash. On 16-JAN-2007, the patient went to the emergency room and was treated with unspecified steroids. On 17-JAN-2007, the patient followed up with the physician assistant and there was no significant rash noted at the time. At the time of this report, the patient had recovered fromthe event (date unknown). Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272352&WAYBACKHISTORY=ON


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