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This is VAERS ID 274136

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274136
VAERS Form:
Age:22.0
Gender:Female
Location:Florida
Vaccinated:2007-03-13
Onset:2007-03-14
Submitted:2007-03-16
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 02434 / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Blister, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up:Blister, area looks burned. Pain at blistered site. Appears to be lower than site of injection. Patient denies other injury. Treated with tylenol #3 and omnicef. Will follow up with doctor next week.


Changed on 9/14/2017

274136 Before After
VAERS Form:(blank) 1
Age:22.0
Gender:Female
Location:Florida
Vaccinated:2007-03-13
Onset:2007-03-14
Submitted:2007-03-16
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 02434 / 0 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Blister, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up:Blister, area looks burned. Pain at blistered site. Appears to be lower than site of injection. Patient denies other injury. Treated with tylenol #3 and omnicef. Will follow up with doctor next week.


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