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This is VAERS ID 274112

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274112
Age:19.0
Gender:Female
Location:Utah
Vaccinated:2007-01-14
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 RA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site discolouration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 19 year old female with penicillin allergy who on 02 Nov 2006 was vaccinated intramuscularly in the right arm with Gardasil. Concomitant therapy included Yasmin. On 14 Jan 2007 the patient receiv"ed her second vaccination of Gardasil intramuscularly in the left arm. On approximately 09 Nov 2006 the patient experienced a lighter coloring of the skin at the injection site. It was reported that the patient did not experience any itching or swelling.


Changed on 12/8/2009

VAERS ID: 274112 Before After
Age:19.0
Gender:Female
Location:Utah
Vaccinated:2007-01-14
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 RA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site discolouration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0702USA00416

Write-up:Information has been received from a physician concerning a 19 year old female with penicillin allergy who on 02 Nov 2006 was vaccinated intramuscularly in the right arm with Gardasil. Concomitant therapy included Yasmin. On 14 Jan 2007 the patient receiv"ed received her second vaccination of Gardasil intramuscularly in the left arm. On approximately 09 Nov 2006 the patient experienced a lighter coloring of the skin at the injection site. It was reported that the patient did not experience any itching or swelling. On approximately 21 Jan 2007 the patient experienced lighter coloring of the skin at the injection site. At the time of this report the patient''s skin discoloration in both arms had not resolved. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 274112 Before After
Age:19.0
Gender:Female
Location:Utah
Vaccinated:2007-01-14
Onset:0000-00-00 2007-02-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site discolouration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data:
CDC 'Split Type': WAES0702USA00416

Write-up:Information has been received from a physician concerning a 19 year old female with penicillin allergy who on 02 Nov 2006 was vaccinated intramuscularly in the right arm with Gardasil. Concomitant therapy included Yasmin. On 14 Jan 2007 the patient received her second vaccination of Gardasil intramuscularly in the left arm. On approximately 09 Nov 2006 the patient experienced a lighter coloring of the skin at the injection site. It was reported that the patient did not experience any itching or swelling. On approximately 21 Jan 2007 the patient experienced lighter coloring of the skin at the injection site. At the time of this report the patient''s skin discoloration in both arms had not resolved. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 274112 Before After
Age:19.0
Gender:Female
Location:Utah
Vaccinated:2007-01-14
Onset:2007-02-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 RA / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Injection site discolouration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness: Penicillin allergy
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data:
CDC 'Split Type': WAES0702USA00416

Write-up:This is in follow-up to report(s) previously submitted on 3/14/2007. Information has been received from a physician concerning a 19 year old female with penicillin allergy who on 02 Nov 2006 02-NOV-2006 was vaccinated intramuscularly in the right arm with Gardasil. GARDASIL (Lot # not provided). Concomitant therapy included Yasmin. On 14 Jan 2007 14-JAN-2007 the patient received her second vaccination of Gardasil GARDASIL (Lot #653735/0688F) intramuscularly in the left arm. On approximately 09 Nov 2006 09-NOV-2006 the patient experienced a lighter coloring of the skin at the injection site. It was reported that the patient did not experience any itching or swelling. On approximately 21 Jan 2007 the patient experienced lighter coloring of the skin at the injection site. Follow up information confirmed that on 01-FEB-2007 the patient experienced lighter coloring of the skin at the injection site. At the time of this report the patient''s skin discoloration in both arms had not resolved. Additional information has been requested.


Changed on 4/7/2010

VAERS ID: 274112 Before After
Age:19.0
Gender:Female
Location:Utah
Vaccinated:2007-01-14
Onset:2007-02-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Skin discolouration, Injection site discolouration, Similar reaction on previous exposure to drug

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES0702USA00416

Write-up:This is in follow-up to report(s) previously submitted on 3/14/2007. Information has been received from a physician concerning a 19 year old female with penicillin allergy who on 02-NOV-2006 was vaccinated intramuscularly in the right arm with GARDASIL (Lot # not provided). Concomitant therapy included Yasmin. On 14-JAN-2007 the patient received her second vaccination of GARDASIL (Lot #653735/0688F) intramuscularly in the left arm. On approximately 09-NOV-2006 the patient experienced a lighter coloring of the skin at the injection site. It was reported that the patient did not experience any itching or swelling. On approximately 21 Jan 2007 the patient experienced lighter coloring of the skin at the injection site. Follow up information confirmed that on 01-FEB-2007 the patient experienced lighter coloring of the skin at the injection site. At the time of this report the patient''s skin discoloration in both arms had not resolved. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 274112 Before After
Age:19.0
Gender:Female
Location:Utah
Vaccinated:2007-01-14
Onset:2007-02-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Skin discolouration, Injection site discolouration, Similar reaction on previous exposure to drug

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES0702USA00416

Write-up:This is in follow-up to report(s) previously submitted on 3/14/2007. Information has been received from a physician concerning a 19 year old female with penicillin allergy who on 02-NOV-2006 was vaccinated intramuscularly in the right arm with GARDASIL (Lot # not provided). Concomitant therapy included Yasmin. On 14-JAN-2007 the patient received her second vaccination of GARDASIL (Lot #653735/0688F) intramuscularly in the left arm. On approximately 09-NOV-2006 the patient experienced a lighter coloring of the skin at the injection site. It was reported that the patient did not experience any itching or swelling. On approximately 21 Jan 2007 the patient experienced lighter coloring of the skin at the injection site. Follow up information confirmed that on 01-FEB-2007 the patient experienced lighter coloring of the skin at the injection site. At the time of this report the patient''s skin discoloration in both arms had not resolved. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 274112 Before After
Age:19.0
Gender:Female
Location:Utah
Vaccinated:2007-01-14
Onset:2007-02-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Skin discolouration, Injection site discolouration, Similar reaction on previous exposure to drug

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES0702USA00416

Write-up:This is in follow-up to report(s) previously submitted on 3/14/2007. Information has been received from a physician concerning a 19 year old female with penicillin allergy who on 02-NOV-2006 was vaccinated intramuscularly in the right arm with GARDASIL (Lot # not provided). Concomitant therapy included Yasmin. On 14-JAN-2007 the patient received her second vaccination of GARDASIL (Lot #653735/0688F) intramuscularly in the left arm. On approximately 09-NOV-2006 the patient experienced a lighter coloring of the skin at the injection site. It was reported that the patient did not experience any itching or swelling. On approximately 21 Jan 2007 the patient experienced lighter coloring of the skin at the injection site. Follow up information confirmed that on 01-FEB-2007 the patient experienced lighter coloring of the skin at the injection site. At the time of this report the patient''s skin discoloration in both arms had not resolved. Additional information has been requested.


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