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This is VAERS ID 272594

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272594
VAERS Form:
Age:21.0
Gender:Female
Location:Kentucky
Vaccinated:2007-01-25
Onset:2007-01-28
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 - / IM

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

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: Yasmin, Wellbutrin
Current Illness:
Preexisting Conditions: Penicillin allergy.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a certified medical assistant concerning a 21 year old female with penicillin allergy who on 25-JAN-2007 was vaccainted with first dose of Gardasil (lot #654702/0011U), 0.5 ml IM in the deltoid. Concomitant therapy inclu"ded Yasmin and Wellbutrin. On 28-JAN-2007, three days later, the patient woke up with a rash on her entire body. The patient sought medical attention. The patient took Benadryl, but it had not improved. The medical assistant reported that the patient stat


Changed on 12/8/2009

272594 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Kentucky
Vaccinated:2007-01-25
Onset:2007-01-28
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 - / IM

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

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: Yasmin, Wellbutrin
Current Illness:
Preexisting Conditions: Penicillin allergy.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0701USA04781

Write-up:Information has been received from a certified medical assistant concerning a 21 year old female with penicillin allergy who on 25-JAN-2007 was vaccainted vaccinated with first dose of Gardasil (lot #654702/0011U), 0.5 ml IM in the deltoid. Concomitant therapy inclu"ded included Yasmin and Wellbutrin. On 28-JAN-2007, three days later, the patient woke up with a rash on her entire body. The patient sought medical attention. The patient took Benadryl, but it had not improved. The medical assistant reported that the patient stat stated the rash is the same over her entire body, the injection site is not any worse than the rest of her body. At the time of reporting, the patient''s rash persisted. No further information was available at the time of reporting. Additional information has been requested.


Changed on 6/2/2010

272594 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Kentucky
Vaccinated:2007-01-25
Onset:2007-01-28
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Rash generalised

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: Yasmin, Wellbutrin
Current Illness:
Preexisting Conditions: Penicillin allergy.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA04781

Write-up:Information has been received from a certified medical assistant concerning a 21 year old female with penicillin allergy who on 25-JAN-2007 was vaccinated with first dose of Gardasil (lot #654702/0011U), 0.5 ml IM in the deltoid. Concomitant therapy included Yasmin and Wellbutrin. On 28-JAN-2007, three days later, the patient woke up with a rash on her entire body. The patient sought medical attention. The patient took Benadryl, but it had not improved. The medical assistant reported that the patient stated the rash is the same over her entire body, the injection site is not any worse than the rest of her body. At the time of reporting, the patient''s rash persisted. No further information was available at the time of reporting. Additional information has been requested.


Changed on 6/14/2014

272594 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Kentucky
Vaccinated:2007-01-25
Onset:2007-01-28
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Rash generalised

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: Yasmin, Wellbutrin
Current Illness:
Preexisting Conditions: Penicillin allergy.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA04781

Write-up:Information has been received from a certified medical assistant concerning a 21 year old female with penicillin allergy who on 25-JAN-2007 was vaccinated with first dose of Gardasil (lot #654702/0011U), 0.5 ml IM in the deltoid. Concomitant therapy included Yasmin and Wellbutrin. On 28-JAN-2007, three days later, the patient woke up with a rash on her entire body. The patient sought medical attention. The patient took Benadryl, but it had not improved. The medical assistant reported that the patient stated the rash is the same over her entire body, the injection site is not any worse than the rest of her body. At the time of reporting, the patient''s rash persisted. No further information was available at the time of reporting. Additional information has been requested.


Changed on 5/14/2017

272594 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Kentucky
Vaccinated:2007-01-25
Onset:2007-01-28
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Rash generalised

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: Yasmin, Wellbutrin
Current Illness:
Preexisting Conditions: Penicillin allergy.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA04781

Write-up:Information has been received from a certified medical assistant concerning a 21 year old female with penicillin allergy who on 25-JAN-2007 was vaccinated with first dose of Gardasil (lot #654702/0011U), 0.5 ml IM in the deltoid. Concomitant therapy included Yasmin and Wellbutrin. On 28-JAN-2007, three days later, the patient woke up with a rash on her entire body. The patient sought medical attention. The patient took Benadryl, but it had not improved. The medical assistant reported that the patient stated the rash is the same over her entire body, the injection site is not any worse than the rest of her body. At the time of reporting, the patient''s rash persisted. No further information was available at the time of reporting. Additional information has been requested.


Changed on 9/14/2017

272594 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:Kentucky
Vaccinated:2007-01-25
Onset:2007-01-28
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Rash generalised

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: Yasmin, Wellbutrin
Current Illness:
Preexisting Conditions: Penicillin allergy.
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA04781

Write-up:Information has been received from a certified medical assistant concerning a 21 year old female with penicillin allergy who on 25-JAN-2007 was vaccinated with first dose of Gardasil (lot #654702/0011U), 0.5 ml IM in the deltoid. Concomitant therapy included Yasmin and Wellbutrin. On 28-JAN-2007, three days later, the patient woke up with a rash on her entire body. The patient sought medical attention. The patient took Benadryl, but it had not improved. The medical assistant reported that the patient stated the rash is the same over her entire body, the injection site is not any worse than the rest of her body. At the time of reporting, the patient''s rash persisted. No further information was available at the time of reporting. Additional information has been requested.


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