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This is VAERS ID 272618

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272618
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-23
Onset:2007-01-26
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 654702/0011U / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: 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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 19 year old female who on 23-JAN-2007 was vaccinated with a 0.5 ml first dose HPV vaccine (yeast) (lot #654702/011U). On 26-JAN-2007 the patient developed a rash on her stomach. Medical attentio"n was sought and the patient was told to take diphenhydramine hydrochloride (BENADRYL). There were no laboratory or diagnostic tests performed. Subsequently, the patient recovered from rash on her stomach. Additional information is not expected.


Changed on 12/8/2009

272618 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-23
Onset:2007-01-26
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 654702/0011U / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: 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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA00149

Write-up:Information has been received from a physician concerning a 19 year old female who on 23-JAN-2007 was vaccinated with a 0.5 ml first dose HPV vaccine (yeast) Gardasil (lot #654702/011U). On 26-JAN-2007 the patient developed a rash on her stomach. Medical attentio"n attention was sought and the patient was told to take diphenhydramine hydrochloride (BENADRYL). There were no laboratory or diagnostic tests performed. Subsequently, the patient recovered from rash on her stomach. Additional information is not expected.


Changed on 9/14/2017

272618 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-23
Onset:2007-01-26
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 654702/0011U / 0 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: 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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA00149

Write-up:Information has been received from a physician concerning a 19 year old female who on 23-JAN-2007 was vaccinated with a 0.5 ml first dose Gardasil (lot #654702/011U). On 26-JAN-2007 the patient developed a rash on her stomach. Medical attention was sought and the patient was told to take diphenhydramine hydrochloride (BENADRYL). There were no laboratory or diagnostic tests performed. Subsequently, the patient recovered from rash on her stomach. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272618&WAYBACKHISTORY=ON


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