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This is VAERS ID 274111

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274111
Age:25.0
Gender:Female
Location:Maryland
Vaccinated:2007-01-26
Onset:2007-01-31
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a licensced practical nurse concerning a 25 eyar old female with no medical history or allergies, who on 26 Jan 2007 was vaccinated a first dose of with Gardasil. Concomitant therapy included hormonal contraceptives (uns"pecified). On 31 Jan 2007 (also reported as four to five days later), the patient developed hives. The patient went to her primary care physician for treatment of the hives. She was prescribed Benadryl. Later that day, she went to the emergency room. On 0


Changed on 12/8/2009

VAERS ID: 274111 Before After
Age:25.0
Gender:Female
Location:Maryland
Vaccinated:2007-01-26
Onset:2007-01-31
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA00395

Write-up:Information has been received from a licensced practical nurse concerning a 25 eyar year old female with no medical history or allergies, who on 26 Jan 2007 was vaccinated a first dose of with Gardasil. Gardasil (yeast) (lot#653736/0014U). Concomitant therapy included hormonal contraceptives (uns"pecified). (unspecified). On 31 Jan 2007 (also reported as four to five days later), the patient developed hives. The patient went to her primary care physician for treatment of the hives. She was prescribed prednisone and Benadryl. Later that day, she went to the emergency room. On 0 01 Feb 2007 the patient told the nurse her hives were worse. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 274111 Before After
Age:25.0
Gender:Female
Location:Maryland
Vaccinated:2007-01-26
Onset:2007-01-31
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0014U / 0 - / -

Administered by: Other      Purchased by: Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA00395

Write-up:Information has been received from a licensced practical nurse concerning a 25 year old female with no medical history or allergies, who on 26 Jan 2007 was vaccinated a first dose of with Gardasil (yeast) (lot#653736/0014U). Concomitant therapy included hormonal contraceptives (unspecified). On 31 Jan 2007 (also reported as four to five days later), the patient developed hives. The patient went to her primary care physician for treatment of the hives. She was prescribed prednisone and Benadryl. Later that day, she went to the emergency room. On 01 Feb 2007 the patient told the nurse her hives were worse. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 274111 Before After
Age:25.0
Gender:Female
Location:Maryland
Vaccinated:2007-01-26
Onset:2007-01-31
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 - / -

Administered by: Other      Purchased by: Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA00395

Write-up:Information has been received from a licensced practical nurse concerning a 25 year old female with no medical history or allergies, who on 26 Jan 2007 was vaccinated a first dose of with Gardasil (yeast) (lot#653736/0014U). Concomitant therapy included hormonal contraceptives (unspecified). On 31 Jan 2007 (also reported as four to five days later), the patient developed hives. The patient went to her primary care physician for treatment of the hives. She was prescribed prednisone and Benadryl. Later that day, she went to the emergency room. On 01 Feb 2007 the patient told the nurse her hives were worse. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 5/14/2016

VAERS ID: 274111 Before After
Age:25.0
Gender:Female
Location:Maryland
Vaccinated:2007-01-26
Onset:2007-01-31
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 - / -

Administered by: Other      Purchased by: Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA00395

Write-up:Information has been received from a licensced practical nurse concerning a 25 year old female with no medical history or allergies, who on 26 Jan 2007 was vaccinated a first dose of with Gardasil (yeast) (lot#653736/0014U). Concomitant therapy included hormonal contraceptives (unspecified). On 31 Jan 2007 (also reported as four to five days later), the patient developed hives. The patient went to her primary care physician for treatment of the hives. She was prescribed prednisone and Benadryl. Later that day, she went to the emergency room. On 01 Feb 2007 the patient told the nurse her hives were worse. At the time of this report, the patient had not recovered. No product quality complaint was involved. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274111&WAYBACKHISTORY=ON


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