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This is VAERS ID 273565

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 273565
Age:20.0
Gender:Female
Location:Indiana
Vaccinated:2007-03-07
Onset:2007-03-07
Submitted:2007-03-07
Entered:2007-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest discomfort, Urticaria

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: demulen, ketek, aquatab
Current Illness: dry skin
Preexisting Conditions: allergy Tetracycline record received 3/9/07-prior HX tetracycline allergy.
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Within 1 hour of receiving vaccination she developed diffuse urticaria. responded to injected benadryl and depomedrol. 03/09/07-records received. for DOS 3/7/07-developed whole body hives and itching, chest felt heavy. Current medication Ketek. PE: WNL e"xcept for confluent hives on arms


Changed on 12/8/2009

VAERS ID: 273565 Before After
Age:20.0
Gender:Female
Location:Indiana
Vaccinated:2007-03-07
Onset:2007-03-07
Submitted:2007-03-07
Entered:2007-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest discomfort, Urticaria

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: demulen, ketek, aquatab
Current Illness: dry skin
Preexisting Conditions: allergy Tetracycline record received 3/9/07-prior HX tetracycline allergy.
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Within 1 hour of receiving vaccination she developed diffuse urticaria. responded to injected benadryl and depomedrol. 03/09/07-records received. for DOS 3/7/07-developed whole body hives and itching, chest felt heavy. Current medication Ketek. PE: WNL e"xcept except for confluent hives on arms


Changed on 5/14/2017

VAERS ID: 273565 Before After
Age:20.0
Gender:Female
Location:Indiana
Vaccinated:2007-03-07
Onset:2007-03-07
Submitted:2007-03-07
Entered:2007-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chest discomfort, Urticaria

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: demulen, ketek, aquatab
Current Illness: dry skin
Preexisting Conditions: allergy Tetracycline record received 3/9/07-prior HX tetracycline allergy.
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Within 1 hour of receiving vaccination she developed diffuse urticaria. responded to injected benadryl and depomedrol. 03/09/07-records received. for DOS 3/7/07-developed whole body hives and itching, chest felt heavy. Current medication Ketek. PE: WNL except for confluent hives on arms


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273565&WAYBACKHISTORY=ON


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