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This is VAERS ID 272524

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272524
VAERS Form:
Age:32.0
Gender:Female
Location:Illinois
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: Erythema, Inappropriate schedule of drug administration, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 32 year old female with no pertinent medical history or drug reactions/allergies, who on an unspecified date was vaccinated with Gardasil (yeast) (0.5 ml). There was no concomitant medication. Su"bsequently, 30 minutes after vaccination, the patient developed redness and itchiness on the palms of her hands, soles of her feet, and in a /"band around her waist/". The patient also developed /"8 red spots on the left side of her truck/". The redness,


Changed on 12/8/2009

272524 Before After
VAERS Form:
Age:32.0
Gender:Female
Location:Illinois
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: Erythema, Inappropriate schedule of drug administration, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0701USA04404

Write-up:Information has been received from a physician concerning a 32 year old female with no pertinent medical history or drug reactions/allergies, who on an unspecified date was vaccinated with Gardasil (yeast) (0.5 ml). There was no concomitant medication. Su"bsequently, Subsequently, 30 minutes after vaccination, the patient developed redness and itchiness on the palms of her hands, soles of her feet, and in a /"band "band around her waist/". waist". The patient also developed /"8 "8 red spots on the left side of her truck/". truck". The redness, itchiness, and red spots lasted for approximately 5 days and then disappeared. It was reported that nothing occurred at the injection site. Unspecified medical attention was sought. Additional information has been requested.


Changed on 2/5/2010

272524 Before After
VAERS Form:
Age:32.0
Gender:Female
Location:Illinois
Vaccinated:0000-00-00 2006-12-11
Onset:0000-00-00 2006-12-11
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0688F / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Erythema, Inappropriate schedule of drug administration, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA04404

Write-up:Information has been received from a physician concerning a 32 year old female with no pertinent medical history or drug reactions/allergies, who on an unspecified date was vaccinated with Gardasil (yeast) (0.5 ml). There was no concomitant medication. Subsequently, 30 minutes after vaccination, the patient developed redness and itchiness on the palms of her hands, soles of her feet, and in a "band around her waist". The patient also developed "8 red spots on the left side of her truck". The redness, itchiness, and red spots lasted for approximately 5 days and then disappeared. It was reported that nothing occurred at the injection site. Unspecified medical attention was sought. Additional information has been requested.


Changed on 5/11/2010

272524 Before After
VAERS Form:
Age:32.0
Gender:Female
Location:Illinois
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-02-14 2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / - 0 UN / - IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Erythema, Inappropriate schedule of drug administration, 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)? Yes No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA04404

Write-up:Information has been received from a physician concerning a 32 year old female with no pertinent medical history or drug reactions/allergies, who on an unspecified date was vaccinated with Gardasil (yeast) (0.5 ml). There was no concomitant medication. Subsequently, 30 minutes after vaccination, the patient developed redness and itchiness on the palms of her hands, soles of her feet, and in a "band around her waist". The patient also developed "8 red spots on the left side of her truck". The redness, itchiness, and red spots lasted for approximately 5 days and then disappeared. It was reported that nothing occurred at the injection site. Unspecified medical attention was sought. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a physician concerning a 32 year old female with no pertinent medical history or drug reactions/allergies, who on 11-Dec-2006 was vaccinated intramuscularly with the first dose of GARDASIL (0.5 ml) (Lot # 653735/0688F). There was no concomitant medication and no illness at time of vaccination. Subsequently, approximately 15 minutes after vaccination, on 11-DEC-2006, the patient developed erythema and pruritus on the palms of her hands, soles of her feet, and an erythmatous band around her waist. It was also reported that the patient also developed "8 red spots on the left side of her trunk". The redness, itchiness, and red spots lasted for approximately 5 days and then disappeared. It was reported that nothing occurred at the injection site. No further information is expected.


Changed on 8/31/2010

272524 Before After
VAERS Form:
Age:32.0
Gender:Female
Location:Illinois
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Inappropriate schedule of drug administration, 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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA04404

Write-up:Information has been received from a physician concerning a 32 year old female with no pertinent medical history or drug reactions/allergies, who on an unspecified date was vaccinated with Gardasil (yeast) (0.5 ml). There was no concomitant medication. Subsequently, 30 minutes after vaccination, the patient developed redness and itchiness on the palms of her hands, soles of her feet, and in a "band around her waist". The patient also developed "8 red spots on the left side of her truck". The redness, itchiness, and red spots lasted for approximately 5 days and then disappeared. It was reported that nothing occurred at the injection site. Unspecified medical attention was sought. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a physician concerning a 32 year old female with no pertinent medical history or drug reactions/allergies, who on 11-Dec-2006 was vaccinated intramuscularly with the first dose of GARDASIL (0.5 ml) (Lot # 653735/0688F). There was no concomitant medication and no illness at time of vaccination. Subsequently, approximately 15 minutes after vaccination, on 11-DEC-2006, the patient developed erythema and pruritus on the palms of her hands, soles of her feet, and an erythmatous band around her waist. It was also reported that the patient also developed "8 red spots on the left side of her trunk". The redness, itchiness, and red spots lasted for approximately 5 days and then disappeared. It was reported that nothing occurred at the injection site. No further information is expected.


Changed on 1/4/2011

272524 Before After
VAERS Form:
Age:32.0
Gender:Female
Location:Illinois
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Inappropriate schedule of drug administration, 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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA04404

Write-up:Information has been received from a physician concerning a 32 year old female with no pertinent medical history or drug reactions/allergies, who on an unspecified date was vaccinated with Gardasil (yeast) (0.5 ml). There was no concomitant medication. Subsequently, 30 minutes after vaccination, the patient developed redness and itchiness on the palms of her hands, soles of her feet, and in a "band around her waist". The patient also developed "8 red spots on the left side of her truck". The redness, itchiness, and red spots lasted for approximately 5 days and then disappeared. It was reported that nothing occurred at the injection site. Unspecified medical attention was sought. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a physician concerning a 32 year old female with no pertinent medical history or drug reactions/allergies, who on 11-Dec-2006 was vaccinated intramuscularly with the first dose of GARDASIL (0.5 ml) (Lot # 653735/0688F). There was no concomitant medication and no illness at time of vaccination. Subsequently, approximately 15 minutes after vaccination, on 11-DEC-2006, the patient developed erythema and pruritus on the palms of her hands, soles of her feet, and an erythmatous band around her waist. It was also reported that the patient also developed "8 red spots on the left side of her trunk". The redness, itchiness, and red spots lasted for approximately 5 days and then disappeared. It was reported that nothing occurred at the injection site. No further information is expected.


Changed on 6/14/2014

272524 Before After
VAERS Form:
Age:32.0
Gender:Female
Location:Illinois
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Inappropriate schedule of drug administration, Pruritus

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA04404

Write-up:Information has been received from a physician concerning a 32 year old female with no pertinent medical history or drug reactions/allergies, who on an unspecified date was vaccinated with Gardasil (yeast) (0.5 ml). There was no concomitant medication. Subsequently, 30 minutes after vaccination, the patient developed redness and itchiness on the palms of her hands, soles of her feet, and in a "band around her waist". The patient also developed "8 red spots on the left side of her truck". The redness, itchiness, and red spots lasted for approximately 5 days and then disappeared. It was reported that nothing occurred at the injection site. Unspecified medical attention was sought. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a physician concerning a 32 year old female with no pertinent medical history or drug reactions/allergies, who on 11-Dec-2006 was vaccinated intramuscularly with the first dose of GARDASIL (0.5 ml) (Lot # 653735/0688F). There was no concomitant medication and no illness at time of vaccination. Subsequently, approximately 15 minutes after vaccination, on 11-DEC-2006, the patient developed erythema and pruritus on the palms of her hands, soles of her feet, and an erythmatous band around her waist. It was also reported that the patient also developed "8 red spots on the left side of her trunk". The redness, itchiness, and red spots lasted for approximately 5 days and then disappeared. It was reported that nothing occurred at the injection site. No further information is expected.


Changed on 5/14/2017

272524 Before After
VAERS Form:
Age:32.0
Gender:Female
Location:Illinois
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Inappropriate schedule of drug administration, Pruritus

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA04404

Write-up:Information has been received from a physician concerning a 32 year old female with no pertinent medical history or drug reactions/allergies, who on an unspecified date was vaccinated with Gardasil (yeast) (0.5 ml). There was no concomitant medication. Subsequently, 30 minutes after vaccination, the patient developed redness and itchiness on the palms of her hands, soles of her feet, and in a "band around her waist". The patient also developed "8 red spots on the left side of her truck". The redness, itchiness, and red spots lasted for approximately 5 days and then disappeared. It was reported that nothing occurred at the injection site. Unspecified medical attention was sought. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a physician concerning a 32 year old female with no pertinent medical history or drug reactions/allergies, who on 11-Dec-2006 was vaccinated intramuscularly with the first dose of GARDASIL (0.5 ml) (Lot # 653735/0688F). There was no concomitant medication and no illness at time of vaccination. Subsequently, approximately 15 minutes after vaccination, on 11-DEC-2006, the patient developed erythema and pruritus on the palms of her hands, soles of her feet, and an erythmatous band around her waist. It was also reported that the patient also developed "8 red spots on the left side of her trunk". The redness, itchiness, and red spots lasted for approximately 5 days and then disappeared. It was reported that nothing occurred at the injection site. No further information is expected.


Changed on 9/14/2017

272524 Before After
VAERS Form:(blank) 1
Age:32.0
Gender:Female
Location:Illinois
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 1 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Inappropriate schedule of drug administration, Pruritus

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA04404

Write-up:Information has been received from a physician concerning a 32 year old female with no pertinent medical history or drug reactions/allergies, who on an unspecified date was vaccinated with Gardasil (yeast) (0.5 ml). There was no concomitant medication. Subsequently, 30 minutes after vaccination, the patient developed redness and itchiness on the palms of her hands, soles of her feet, and in a "band around her waist". The patient also developed "8 red spots on the left side of her truck". The redness, itchiness, and red spots lasted for approximately 5 days and then disappeared. It was reported that nothing occurred at the injection site. Unspecified medical attention was sought. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a physician concerning a 32 year old female with no pertinent medical history or drug reactions/allergies, who on 11-Dec-2006 was vaccinated intramuscularly with the first dose of GARDASIL (0.5 ml) (Lot # 653735/0688F). There was no concomitant medication and no illness at time of vaccination. Subsequently, approximately 15 minutes after vaccination, on 11-DEC-2006, the patient developed erythema and pruritus on the palms of her hands, soles of her feet, and an erythmatous band around her waist. It was also reported that the patient also developed "8 red spots on the left side of her trunk". The redness, itchiness, and red spots lasted for approximately 5 days and then disappeared. It was reported that nothing occurred at the injection site. No further information is expected.


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