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This is VAERS ID 273583

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

273583
VAERS Form:
Age:17.0
Gender:Female
Location:Connecticut
Vaccinated:2007-02-21
Onset:2007-02-22
Submitted:2007-02-28
Entered:2007-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Pruritus, Rash

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:
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt developed rash over torso following day after vaccine administered. Rash worsened over week (red patches, itching). Referred to dermatologist given RX clobetasol Propionate and Zyrtec.


Changed on 12/8/2009

273583 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Connecticut
Vaccinated:2007-02-21
Onset:2007-02-22
Submitted:2007-02-28
Entered:2007-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Erythema, Pruritus, Rash

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:
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt developed rash over torso following day after vaccine administered. Rash worsened over week (red patches, itching). Referred to dermatologist given RX clobetasol Propionate and Zyrtec.


Changed on 9/14/2017

273583 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Connecticut
Vaccinated:2007-02-21
Onset:2007-02-22
Submitted:2007-02-28
Entered:2007-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pruritus, Rash

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:
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt developed rash over torso following day after vaccine administered. Rash worsened over week (red patches, itching). Referred to dermatologist given RX clobetasol Propionate and Zyrtec.


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