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This is VAERS ID 274201

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274201
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-01
Onset:2006-12-01
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: Erythema, Pruritus

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol, Zyrtec, Flovent
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 16 year old female with asthma who in December 2006, was vaccinated with the first dose of Gardasil. Concomitant therapy included FLOVENT, albuterol and ZYRTEC. In December 2006, a few hours foll"owing vaccination with Gardasil, the patient experienced itchiness and redness of her face. The patient sought unspecified medical attention. Subsequently on an unspecified date, the patient recovered from itchiness and redness of her face. Additional inf


Changed on 12/8/2009

VAERS ID: 274201 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-01
Onset:2006-12-01
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: Erythema, Pruritus

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol, Zyrtec, Flovent
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0702USA01375

Write-up:Information has been received from a physician concerning a 16 year old female with asthma who in December 2006, was vaccinated with the first dose of Gardasil. Concomitant therapy included FLOVENT, albuterol and ZYRTEC. In December 2006, a few hours foll"owing following vaccination with Gardasil, the patient experienced itchiness and redness of her face. The patient sought unspecified medical attention. Subsequently on an unspecified date, the patient recovered from itchiness and redness of her face. Additional inf information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274201&WAYBACKHISTORY=ON


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