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This is VAERS ID 272356

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272356
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Rash

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: UNK
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female patient who was vaccinated with a 0.5 ml dose of Gardasil. Subsequently the patient developed a rash. The patient sought unspecified medical attention. Additional information has been requ"ested.


Changed on 12/8/2009

VAERS ID: 272356 Before After
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

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

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: UNK
CDC 'Split Type': (blank) WAES0701USA02455

Write-up:Information has been received from a physician concerning a female patient who was vaccinated with a 0.5 ml dose of Gardasil. Subsequently the patient developed a rash. The patient sought unspecified medical attention. Additional information has been requ"ested. requested.


Changed on 2/5/2010

VAERS ID: 272356 Before After
Age:(blank) 13.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00 2006-12-22
Onset:0000-00-00 2006-12-22
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0961F / - UN / -

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: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA02455

Write-up:Information has been received from a physician concerning a female patient who was vaccinated with a 0.5 ml dose of Gardasil. Subsequently the patient developed a rash. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 272356 Before After
Age:13.0
Gender:Female
Location:Unknown Louisiana
Vaccinated:2006-12-22
Onset:2006-12-22
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / - UN 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: UNK Unknown
Current Illness:
Preexisting Conditions: UNK UNK: None
Diagnostic Lab Data: UNK UNK; None
CDC 'Split Type': WAES0701USA02455

Write-up:This is in follow-up to report(s) previously submitted on 2/14/2007; 4/6/2007. Information has been received from a physician concerning a female patient with NKDA or preexisting medical conditions who on 22-DEC-2006, at 1:15 PM, the patient was vaccinated in the right arm with a 0.5 ml dose of Gardasil. Subsequently GARDASIL (lot # 654389/0961F). Subsequently, several hours after the vaccination, she experienced localized right arm pain, developed a rash which was described as hives or her chin. Subsequently, on an unspecified date, the patient developed a rash. recovered from the events without treatment. The patient sought unspecified medical attention. Additional information has been requested. is not expected.


Changed on 4/7/2010

VAERS ID: 272356 Before After
Age:13.0
Gender:Female
Location:Louisiana
Vaccinated:2006-12-22
Onset:2006-12-22
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / - RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain, Rash, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: UNK: None
Diagnostic Lab Data: UNK; None
CDC 'Split Type': WAES0701USA02455

Write-up:This is in follow-up to report(s) previously submitted on 2/14/2007; 4/6/2007. Information has been received from a physician concerning a female patient with NKDA or preexisting medical conditions who on 22-DEC-2006, at 1:15 PM, the patient was vaccinated in the right arm with a 0.5 ml dose of GARDASIL (lot # 654389/0961F). Subsequently, several hours after the vaccination, she experienced localized right arm pain, developed a rash which was described as hives or her chin. Subsequently, on an unspecified date, the patient recovered from the events without treatment. The patient sought unspecified medical attention. Additional information is not expected.


Changed on 5/11/2010

VAERS ID: 272356 Before After
Age:13.0
Gender:Female
Location:Louisiana
Vaccinated:2006-12-22
Onset:2006-12-22
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / - RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain, Rash, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: UNK: None Unknown
Diagnostic Lab Data: UNK; None Unknown
CDC 'Split Type': WAES0701USA02455

Write-up:This is in follow-up to report(s) previously submitted on 2/14/2007; 4/6/2007. Information has been received from a physician concerning a female patient with NKDA or preexisting medical conditions who on 22-DEC-2006, at 1:15 PM, the patient was vaccinated in the right arm with a 0.5 ml dose of GARDASIL (lot # 654389/0961F). Subsequently, several hours after the vaccination, she experienced localized right arm pain, developed a rash which was described as hives or her chin. Subsequently, on an unspecified date, the patient recovered from the events without treatment. The patient sought unspecified medical attention. Additional information is not expected. Additional information has been requested


Changed on 7/31/2010

VAERS ID: 272356 Before After
Age:13.0
Gender:Female
Location:Louisiana
Vaccinated:2006-12-22
Onset:2006-12-22
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / - RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain, Rash, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0701USA02455

Write-up:This is in follow-up to report(s) previously submitted on 2/14/2007; 4/6/2007. Information has been received from a physician concerning a female patient with NKDA or preexisting medical conditions who on 22-DEC-2006, at 1:15 PM, the patient was vaccinated in the right arm with a 0.5 ml dose of GARDASIL (lot # 654389/0961F). Subsequently, several hours after the vaccination, she experienced localized right arm pain, developed a rash which was described as hives or her chin. Subsequently, on an unspecified date, the patient recovered from the events without treatment. The patient sought unspecified medical attention. Additional information is not expected. Additional information has been requested


Changed on 6/14/2014

VAERS ID: 272356 Before After
Age:13.0
Gender:Female
Location:Louisiana
Vaccinated:2006-12-22
Onset:2006-12-22
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / - RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain, Rash, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0701USA02455

Write-up:This is in follow-up to report(s) previously submitted on 2/14/2007; 4/6/2007. Information has been received from a physician concerning a female patient with NKDA or preexisting medical conditions who on 22-DEC-2006, at 1:15 PM, the patient was vaccinated in the right arm with a 0.5 ml dose of GARDASIL (lot # 654389/0961F). Subsequently, several hours after the vaccination, she experienced localized right arm pain, developed a rash which was described as hives or her chin. Subsequently, on an unspecified date, the patient recovered from the events without treatment. The patient sought unspecified medical attention. Additional information is not expected. Additional information has been requested


Changed on 5/14/2017

VAERS ID: 272356 Before After
Age:13.0
Gender:Female
Location:Louisiana
Vaccinated:2006-12-22
Onset:2006-12-22
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / - RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain, Rash, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0701USA02455

Write-up:This is in follow-up to report(s) previously submitted on 2/14/2007; 4/6/2007. Information has been received from a physician concerning a female patient with NKDA or preexisting medical conditions who on 22-DEC-2006, at 1:15 PM, the patient was vaccinated in the right arm with a 0.5 ml dose of GARDASIL (lot # 654389/0961F). Subsequently, several hours after the vaccination, she experienced localized right arm pain, developed a rash which was described as hives or her chin. Subsequently, on an unspecified date, the patient recovered from the events without treatment. The patient sought unspecified medical attention. Additional information is not expected. Additional information has been requested


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