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This is VAERS ID 273294

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

273294
VAERS Form:
Age:67.0
Gender:Female
Location:New York
Vaccinated:2007-01-30
Onset:2007-02-03
Submitted:2007-03-02
Entered:2007-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Blister, Erythema, Rash, Skin warm

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: Combivent inhaler, Advantage inhaler, Spiriva inhaler.
Current Illness: NONE
Preexisting Conditions: Asthma, Emphysema
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:4 days after receiving Gardasil vaccine 1st injection patient c/o red, hot rash on both hands and upper thighs, rash on thighs with small blisters lasted approx 1 hour then subsided this went on daily for the next 10 days each time lasting 1 hour.


Changed on 12/8/2009

273294 Before After
VAERS Form:
Age:67.0
Gender:Female
Location:New York
Vaccinated:2007-01-30
Onset:2007-02-03
Submitted:2007-03-02
Entered:2007-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Blister, Erythema, Rash, Skin warm

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: Combivent inhaler, Advantage inhaler, Spiriva inhaler.
Current Illness: NONE
Preexisting Conditions: Asthma, Emphysema
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:4 days after receiving Gardasil vaccine 1st injection patient c/o red, hot rash on both hands and upper thighs, rash on thighs with small blisters lasted approx 1 hour then subsided this went on daily for the next 10 days each time lasting 1 hour.


Changed on 9/14/2017

273294 Before After
VAERS Form:(blank) 1
Age:67.0
Gender:Female
Location:New York
Vaccinated:2007-01-30
Onset:2007-02-03
Submitted:2007-03-02
Entered:2007-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blister, Erythema, Rash, Skin warm

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: Combivent inhaler, Advantage inhaler, Spiriva inhaler.
Current Illness: NONE
Preexisting Conditions: Asthma, Emphysema
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:4 days after receiving Gardasil vaccine 1st injection patient c/o red, hot rash on both hands and upper thighs, rash on thighs with small blisters lasted approx 1 hour then subsided this went on daily for the next 10 days each time lasting 1 hour.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273294&WAYBACKHISTORY=ON


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