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This is VAERS ID 272510

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272510
VAERS Form:
Age:26.0
Gender:Female
Location:Virginia
Vaccinated:2007-01-19
Onset:2007-01-21
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Pruritus

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

Write-up:Information has been received from a physician concerning a 26 year old female who on 19-JAN-2007 was vaccinated intramuscularly with the first dose of Gardasil (yeast). On approximately 21-JAN-2007, /"within about three days/", the patient reported that"both her arms were itchy and red. The patient sought unspecified medical attention. The physician reported that she told the patient to take some Benadryl to treat the symptoms. The physician reported that she did not plan to re-vaccinate the patient with


Changed on 12/8/2009

272510 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Virginia
Vaccinated:2007-01-19
Onset:2007-01-21
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Erythema, Pruritus

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0701USA03965

Write-up:Information has been received from a physician concerning a 26 year old female who on 19-JAN-2007 was vaccinated intramuscularly with the first dose of Gardasil (yeast). On approximately 21-JAN-2007, /"within "within about three days/", days", the patient reported that"both that both her arms were itchy and red. The patient sought unspecified medical attention. The physician reported that she told the patient to take some Benadryl to treat the symptoms. The physician reported that she did not plan to re-vaccinate the patient with Gardasil (yeast). No lot number was provided. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


Changed on 2/5/2010

272510 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Virginia
Vaccinated:2007-01-19
Onset:2007-01-21
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: Other
Symptoms: Erythema, Pruritus

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA03965

Write-up:Information has been received from a physician concerning a 26 year old female who on 19-JAN-2007 was vaccinated intramuscularly with the first dose of Gardasil (yeast). On approximately 21-JAN-2007, "within about three days", the patient reported that both her arms were itchy and red. The patient sought unspecified medical attention. The physician reported that she told the patient to take some Benadryl to treat the symptoms. The physician reported that she did not plan to re-vaccinate the patient with Gardasil (yeast). No lot number was provided. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


Changed on 3/2/2010

272510 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Virginia
Vaccinated:2007-01-19
Onset:2007-01-21
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 - LA / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Erythema, Pruritus

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: UNK Unknown
Current Illness:
Preexisting Conditions: UNK Unknown
Allergies:
Diagnostic Lab Data: UNK Unknown
CDC 'Split Type': WAES0701USA03965

Write-up:Information has been received from a physician concerning a 26 year old female who on 19-JAN-2007 was vaccinated intramuscularly in left arm (upper outer quadrant) with the first dose of Gardasil (yeast). GARDASIL vaccine (lot # 655619/1427F). On approximately 21-JAN-2007, "within about three days", the patient reported that both her arms were itchy and red. The patient sought unspecified medical attention. The physician reported that she told the patient to take some Benadryl BENADRYL to treat the symptoms. The physician reported that she did not plan to re-vaccinate the patient with Gardasil (yeast). GARDASIL vaccine. No lot number was provided. At the time of this report, the outcome of the event was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Additional information was received from a health professional. Lot number was provided and added to the report. The injection site was more affected that the opposite arm. The outcome was not reported. No additional information is expected.


Changed on 6/14/2014

272510 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Virginia
Vaccinated:2007-01-19
Onset:2007-01-21
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pruritus

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0701USA03965

Write-up:Information has been received from a physician concerning a 26 year old female who on 19-JAN-2007 was vaccinated intramuscularly in left arm (upper outer quadrant) with the first dose of GARDASIL vaccine (lot # 655619/1427F). On approximately 21-JAN-2007, "within about three days", the patient reported that both her arms were itchy and red. The patient sought unspecified medical attention. The physician reported that she told the patient to take some BENADRYL to treat the symptoms. The physician reported that she did not plan to re-vaccinate the patient with GARDASIL vaccine. No lot number was provided. At the time of this report, the outcome of the event was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Additional information was received from a health professional. Lot number was provided and added to the report. The injection site was more affected that the opposite arm. The outcome was not reported. No additional information is expected.


Changed on 5/14/2017

272510 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Virginia
Vaccinated:2007-01-19
Onset:2007-01-21
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pruritus

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0701USA03965

Write-up:Information has been received from a physician concerning a 26 year old female who on 19-JAN-2007 was vaccinated intramuscularly in left arm (upper outer quadrant) with the first dose of GARDASIL vaccine (lot # 655619/1427F). On approximately 21-JAN-2007, "within about three days", the patient reported that both her arms were itchy and red. The patient sought unspecified medical attention. The physician reported that she told the patient to take some BENADRYL to treat the symptoms. The physician reported that she did not plan to re-vaccinate the patient with GARDASIL vaccine. No lot number was provided. At the time of this report, the outcome of the event was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Additional information was received from a health professional. Lot number was provided and added to the report. The injection site was more affected that the opposite arm. The outcome was not reported. No additional information is expected.


Changed on 9/14/2017

272510 Before After
VAERS Form:(blank) 1
Age:26.0
Gender:Female
Location:Virginia
Vaccinated:2007-01-19
Onset:2007-01-21
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pruritus

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0701USA03965

Write-up:Information has been received from a physician concerning a 26 year old female who on 19-JAN-2007 was vaccinated intramuscularly in left arm (upper outer quadrant) with the first dose of GARDASIL vaccine (lot # 655619/1427F). On approximately 21-JAN-2007, "within about three days", the patient reported that both her arms were itchy and red. The patient sought unspecified medical attention. The physician reported that she told the patient to take some BENADRYL to treat the symptoms. The physician reported that she did not plan to re-vaccinate the patient with GARDASIL vaccine. No lot number was provided. At the time of this report, the outcome of the event was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Additional information was received from a health professional. Lot number was provided and added to the report. The injection site was more affected that the opposite arm. The outcome was not reported. No additional information is expected.


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