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This is VAERS ID 272847

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272847
VAERS Form:
Age:23.0
Gender:Female
Location:Colorado
Vaccinated:2007-02-15
Onset:2007-02-18
Submitted:2007-02-21
Entered:2007-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site pain, Injection site rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: Routine Pap smear
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:HPV vaccine given 2/15/07. PT called office 2/20/07 with reports of /"breaking out from vaccine/". States on 2/18 she had hives on waist up, dry and flaky. Only /"pain and pimple/" at injection site (R arm). Pt denied any other changes in detergents, soap", food, perfume, lotion, etc. Pt told to take Benadryl.


Changed on 12/8/2009

272847 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Colorado
Vaccinated:2007-02-15
Onset:2007-02-18
Submitted:2007-02-21
Entered:2007-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site pain, Injection site rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: Routine Pap smear
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:HPV vaccine given 2/15/07. PT called office 2/20/07 with reports of /"breaking "breaking out from vaccine/". vaccine". States on 2/18 she had hives on waist up, dry and flaky. Only /"pain "pain and pimple/" pimple" at injection site (R arm). Pt denied any other changes in detergents, soap", soap, food, perfume, lotion, etc. Pt told to take Benadryl.


Changed on 9/14/2017

272847 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:Colorado
Vaccinated:2007-02-15
Onset:2007-02-18
Submitted:2007-02-21
Entered:2007-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 1 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site pain, Injection site rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: Routine Pap smear
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:HPV vaccine given 2/15/07. PT called office 2/20/07 with reports of "breaking out from vaccine". States on 2/18 she had hives on waist up, dry and flaky. Only "pain and pimple" at injection site (R arm). Pt denied any other changes in detergents, soap, food, perfume, lotion, etc. Pt told to take Benadryl.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272847&WAYBACKHISTORY=ON


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