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This is VAERS ID 273013

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

273013
VAERS Form:
Age:16.0
Gender:Female
Location:Connecticut
Vaccinated:2007-02-20
Onset:2007-02-22
Submitted:2007-02-26
Entered:2007-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. ? / 1 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Herpes zoster, Pain, Paraesthesia, Pruritus

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: LOOVRAL
Current Illness: NONE KNOWN
Preexisting Conditions: NONE KNOWN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:ON 2/22/07 PATIENT STARTED WITH TINGLY,ITCHY AREA ON BACK THAT BECAME A RAISED ,RED RASH ON BACK. IT IS MOSTLY ON ONE SIDE MORE THAN THE OTHER AND IS VERY PAINFUL AND CAUSES HER LEFT SIDE TO BE TINGLY. SHE WENT TO THE WALK-IN BECAUSE IT WAS THE WEEKEND AN"D THEY DIAGNOSED HER WITH SHINGLES. SHE WAS STARTED ON A COURSE OF VALTREX TO TAKE TID FOR ONE WEEK. SHE IS FOLLOWING UP WITH HER PRIMARY CAE M.D. WHO IS POSSIBLY TO DO LAB WORK.


Changed on 12/8/2009

273013 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Connecticut
Vaccinated:2007-02-20
Onset:2007-02-22
Submitted:2007-02-26
Entered:2007-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. ? / 1 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Herpes zoster, Pain, Paraesthesia, Pruritus, Rash

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: LOOVRAL
Current Illness: NONE KNOWN
Preexisting Conditions: NONE KNOWN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:ON 2/22/07 PATIENT STARTED WITH TINGLY,ITCHY AREA ON BACK THAT BECAME A RAISED ,RED RASH ON BACK. IT IS MOSTLY ON ONE SIDE MORE THAN THE OTHER AND IS VERY PAINFUL AND CAUSES HER LEFT SIDE TO BE TINGLY. SHE WENT TO THE WALK-IN BECAUSE IT WAS THE WEEKEND AN"D AND THEY DIAGNOSED HER WITH SHINGLES. SHE WAS STARTED ON A COURSE OF VALTREX TO TAKE TID FOR ONE WEEK. SHE IS FOLLOWING UP WITH HER PRIMARY CAE M.D. WHO IS POSSIBLY TO DO LAB WORK.


Changed on 9/14/2017

273013 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Connecticut
Vaccinated:2007-02-20
Onset:2007-02-22
Submitted:2007-02-26
Entered:2007-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. ? / 1 2 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Herpes zoster, Pain, Paraesthesia, Pruritus, Rash

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: LOOVRAL
Current Illness: NONE KNOWN
Preexisting Conditions: NONE KNOWN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:ON 2/22/07 PATIENT STARTED WITH TINGLY,ITCHY AREA ON BACK THAT BECAME A RAISED ,RED RASH ON BACK. IT IS MOSTLY ON ONE SIDE MORE THAN THE OTHER AND IS VERY PAINFUL AND CAUSES HER LEFT SIDE TO BE TINGLY. SHE WENT TO THE WALK-IN BECAUSE IT WAS THE WEEKEND AND THEY DIAGNOSED HER WITH SHINGLES. SHE WAS STARTED ON A COURSE OF VALTREX TO TAKE TID FOR ONE WEEK. SHE IS FOLLOWING UP WITH HER PRIMARY CAE M.D. WHO IS POSSIBLY TO DO LAB WORK.


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