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This is VAERS ID 273116

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

273116
VAERS Form:
Age:26.0
Gender:Female
Location:Minnesota
Vaccinated:2007-02-20
Onset:2007-02-20
Submitted:2007-02-22
Entered:2007-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) / AVENTIS PASTEUR U2168CA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, 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: Metronidazole 100 mg/day
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:symptoms started 2-20-07 at 7pm. 1st noticed bumps on arms. She now has hives on her abdomen, face, neck and arms. She also felt faint at times.


Changed on 12/8/2009

273116 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Minnesota
Vaccinated:2007-02-20
Onset:2007-02-20
Submitted:2007-02-22
Entered:2007-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U2168CA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, 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: Metronidazole 100 mg/day
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:symptoms started 2-20-07 at 7pm. 1st noticed bumps on arms. She now has hives on her abdomen, face, neck and arms. She also felt faint at times.


Changed on 7/7/2013

273116 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Minnesota
Vaccinated:2007-02-20
Onset:2007-02-20
Submitted:2007-02-22
Entered:2007-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U2168CA / 1 LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U2168CA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, 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: Metronidazole 100 mg/day
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:symptoms started 2-20-07 at 7pm. 1st noticed bumps on arms. She now has hives on her abdomen, face, neck and arms. She also felt faint at times.


Changed on 5/14/2017

273116 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Minnesota
Vaccinated:2007-02-20
Onset:2007-02-20
Submitted:2007-02-22
Entered:2007-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR SANOFI PASTEUR U2168CA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, 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: Metronidazole 100 mg/day
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:symptoms started 2-20-07 at 7pm. 1st noticed bumps on arms. She now has hives on her abdomen, face, neck and arms. She also felt faint at times.


Changed on 9/14/2017

273116 Before After
VAERS Form:(blank) 1
Age:26.0
Gender:Female
Location:Minnesota
Vaccinated:2007-02-20
Onset:2007-02-20
Submitted:2007-02-22
Entered:2007-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2168CA / 1 2 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 1 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, 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: Metronidazole 100 mg/day
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:symptoms started 2-20-07 at 7pm. 1st noticed bumps on arms. She now has hives on her abdomen, face, neck and arms. She also felt faint at times.


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