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This is VAERS ID 272629

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272629
Age:25.0
Gender:Female
Location:California
Vaccinated:2007-01-12
Onset:2007-01-14
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655619/1427F / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Rash, Skin lesion

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

Write-up:Information has been received from a physician concerning a 25 year old female who on 12-JAN-2007 was vaccinated IM in the right deltoid, with a first 0.5 ml dose of HPV vaccine (lot#655619/1427F). There was no concomitant medication. On 14-JAN-2007 the p"atient developed skin eruptions, lesions, on the axilla of the right arm. It was reported that the patient was treated with Benadryl. The patient reported the patient''''s lesions continued for two weeks and were worsening. At the time of the report, the


Changed on 12/8/2009

VAERS ID: 272629 Before After
Age:25.0
Gender:Female
Location:California
Vaccinated:2007-01-12
Onset:2007-01-14
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655619/1427F / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Rash, Skin lesion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA00304

Write-up:Information has been received from a physician concerning a 25 year old female who on 12-JAN-2007 was vaccinated IM in the right deltoid, with a first 0.5 ml dose of HPV vaccine (lot#655619/1427F). There was no concomitant medication. On 14-JAN-2007 the p"atient patient developed skin eruptions, lesions, on the axilla of the right arm. It was reported that the patient was treated with Benadryl. The patient reported the patient''''s patient''s lesions continued for two weeks and were worsening. At the time of the report, the patient had not recovered. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 272629 Before After
Age:25.0
Gender:Female
Location:California
Vaccinated:2007-01-12
Onset:2007-01-14
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655619/1427F / 0 - RA / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Rash, Skin lesion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE NONE; Unknown
CDC 'Split Type': WAES0702USA00304

Write-up:This is in follow-up to report(s) previously submitted on 2/14/2007. Information has been received from a physician concerning a 25 year old female who on 12-JAN-2007 was vaccinated IM in the right deltoid, with a first 0.5 ml dose of HPV vaccine (lot#655619/1427F). There was no concomitant medication. On 14-JAN-2007 the patient developed raised erythematous papules with tenderness (previously described as skin eruptions, lesions, lesions), on the axilla of the right arm. It was reported that the patient was treated with Benadryl. The patient reported the patient''s lesions continued for two weeks and were worsening. At the time of the report, the patient had not recovered. Additional information has been requested. Follow up information indicated that labs (not specified) had been obtained and the results had not yet been received. The physician indicated the outcome of the erythematous and tender papules was unknown. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 272629 Before After
Age:25.0
Gender:Female
Location:California
Vaccinated:2007-01-12
Onset:2007-01-14
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655619/1427F / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Rash, Skin lesion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE; Unknown
CDC 'Split Type': WAES0702USA00304

Write-up:This is in follow-up to report(s) previously submitted on 2/14/2007. Information has been received from a physician concerning a 25 year old female who on 12-JAN-2007 was vaccinated IM in the right deltoid, with a first 0.5 ml dose of HPV vaccine (lot#655619/1427F). There was no concomitant medication. On 14-JAN-2007 the patient developed raised erythematous papules with tenderness (previously described as skin eruptions, lesions), on the axilla of the right arm. It was reported that the patient was treated with Benadryl. The patient reported the patient''s lesions continued for two weeks and were worsening. At the time of the report, the patient had not recovered. Additional information has been requested. Follow up information indicated that labs (not specified) had been obtained and the results had not yet been received. The physician indicated the outcome of the erythematous and tender papules was unknown. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 272629 Before After
Age:25.0
Gender:Female
Location:California
Vaccinated:2007-01-12
Onset:2007-01-14
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655619/1427F / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Rash, Skin lesion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE; Unknown
CDC 'Split Type': WAES0702USA00304

Write-up:This is in follow-up to report(s) previously submitted on 2/14/2007. Information has been received from a physician concerning a 25 year old female who on 12-JAN-2007 was vaccinated IM in the right deltoid, with a first 0.5 ml dose of HPV vaccine (lot#655619/1427F). There was no concomitant medication. On 14-JAN-2007 the patient developed raised erythematous papules with tenderness (previously described as skin eruptions, lesions), on the axilla of the right arm. It was reported that the patient was treated with Benadryl. The patient reported the patient''s lesions continued for two weeks and were worsening. At the time of the report, the patient had not recovered. Additional information has been requested. Follow up information indicated that labs (not specified) had been obtained and the results had not yet been received. The physician indicated the outcome of the erythematous and tender papules was unknown. Additional information has been requested.


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