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This is VAERS ID 272771

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272771
VAERS Form:
Age:17.0
Gender:Female
Location:Florida
Vaccinated:2007-02-07
Onset:2007-02-09
Submitted:2007-02-20
Entered:2007-02-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Culture throat negative, Rash erythematous, Rash papular, Rash pruritic

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: THROAT CULTURE TO RULE OUT STREP PN 2/13/07. RESULTS WERE NEGATIVE
CDC 'Split Type':

Write-up:AFEBRILE ERYTHEMATOUS FINE PAPULAR PRURITIC RASH ON CHEST, LEGS, BACK AND ABDOMEN BEGINNING 2 DAYS POST VACCINATION. PRURITITS AND ERYTHEMA RESPONDED TO ORAL BENADRYL.


Changed on 12/8/2009

272771 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Florida
Vaccinated:2007-02-07
Onset:2007-02-09
Submitted:2007-02-20
Entered:2007-02-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Culture throat negative, Rash erythematous, Rash papular, Rash pruritic

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: THROAT CULTURE TO RULE OUT STREP PN 2/13/07. RESULTS WERE NEGATIVE
CDC 'Split Type':

Write-up:AFEBRILE ERYTHEMATOUS FINE PAPULAR PRURITIC RASH ON CHEST, LEGS, BACK AND ABDOMEN BEGINNING 2 DAYS POST VACCINATION. PRURITITS AND ERYTHEMA RESPONDED TO ORAL BENADRYL.


Changed on 9/14/2017

272771 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Florida
Vaccinated:2007-02-07
Onset:2007-02-09
Submitted:2007-02-20
Entered:2007-02-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Culture throat negative, Rash erythematous, Rash papular, Rash pruritic

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: THROAT CULTURE TO RULE OUT STREP PN 2/13/07. RESULTS WERE NEGATIVE
CDC 'Split Type':

Write-up:AFEBRILE ERYTHEMATOUS FINE PAPULAR PRURITIC RASH ON CHEST, LEGS, BACK AND ABDOMEN BEGINNING 2 DAYS POST VACCINATION. PRURITITS AND ERYTHEMA RESPONDED TO ORAL BENADRYL.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272771&WAYBACKHISTORY=ON


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