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This is VAERS ID 273750

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

273750
VAERS Form:
Age:25.0
Gender:Female
Location:Idaho
Vaccinated:2007-03-08
Onset:2007-03-08
Submitted:2007-03-09
Entered:2007-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1249F / 0 LA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash maculo-papular, Pruritus generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Orthocyclen
Current Illness: None
Preexisting Conditions: Allergy to sulfa
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up:Patient started intching, mostly on trunk, last night; woke up itching all over and has rash (fine maculopapular rash) all over; given hydroxyzine for itching;


Changed on 9/14/2017

273750 Before After
VAERS Form:(blank) 1
Age:25.0
Gender:Female
Location:Idaho
Vaccinated:2007-03-08
Onset:2007-03-08
Submitted:2007-03-09
Entered:2007-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 1 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1249F / 0 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash maculo-papular, Pruritus generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Orthocyclen
Current Illness: None
Preexisting Conditions: Allergy to sulfa
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up:Patient started intching, mostly on trunk, last night; woke up itching all over and has rash (fine maculopapular rash) all over; given hydroxyzine for itching;


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273750&WAYBACKHISTORY=ON


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