National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 274215

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274215
Age:22.0
Gender:Female
Location:North Carolina
Vaccinated:2007-02-08
Onset:2007-02-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Melanocytic naevus, Pain, Rash, Injection site discolouration

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: Asthma
Preexisting Conditions: Cervical intraepithelial neoplasia; Benign pigmented naevus excision
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 22 year old female with mild asthma and a history of CIN grade I (2003, 2005 and 2006) and a benign pigmented lesion removed from her inner thigh (2006) who on 08-FEB-2007 was vaccinated IM into"the right arm with a 0.5 ml dose of Gardasil (yeast) (lot # 654535/0960F). Concomitant therapy included oral hormonal contraceptives (unspecified). Three on 11-FEB-2007 the patient developed two raised areas of hyperpigmented skin in the area of the injec


Changed on 12/8/2009

VAERS ID: 274215 Before After
Age:22.0
Gender:Female
Location:North Carolina
Vaccinated:2007-02-08
Onset:2007-02-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Erythema, Melanocytic naevus, Pain, Rash, Skin hyperpigmentation, Injection site discolouration

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: Asthma
Preexisting Conditions: Cervical intraepithelial neoplasia; Benign pigmented naevus excision
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA02321

Write-up:Information has been received from a physician concerning a 22 year old female with mild asthma and a history of CIN grade I (2003, 2005 and 2006) and a benign pigmented lesion removed from her inner thigh (2006) who on 08-FEB-2007 was vaccinated IM into"the into the right arm with a 0.5 ml dose of Gardasil (yeast) (lot # 654535/0960F). Concomitant therapy included oral hormonal contraceptives (unspecified). Three on 11-FEB-2007 the patient developed two raised areas of hyperpigmented skin in the area of the injec injection site. The areas are 4 x 4 mm and 3 x 3 mm. The areas are described as are nevus like in appearance, linear, surrounded by erythema and painful. The patient is being evaluated for a "possible skin rash." The patient had not yet recovered from her experiences. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 274215 Before After
Age:22.0
Gender:Female
Location:North Carolina
Vaccinated:2007-02-08
Onset:2007-02-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Erythema, Melanocytic naevus, Pain, Rash, Skin hyperpigmentation, Injection site discolouration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness: Asthma
Preexisting Conditions: Cervical intraepithelial neoplasia; Benign pigmented naevus excision
Diagnostic Lab Data: UNK Unknown
CDC 'Split Type': WAES0702USA02321

Write-up:Information has been received from a physician concerning a 22 year old female with mild asthma and a history of CIN grade I (2003, 2005 and 2006) and a benign pigmented lesion removed from her inner thigh (2006) who on 08-FEB-2007 was vaccinated IM into the right arm with a 0.5 ml dose of Gardasil (yeast) (lot # 654535/0960F). Concomitant therapy included oral hormonal contraceptives (unspecified). Three on 11-FEB-2007 the patient developed two raised areas of hyperpigmented skin in the area of the injection site. The areas are 4 x 4 mm and 3 x 3 mm. The areas are described as are nevus like in appearance, linear, surrounded by erythema and painful. The patient is being evaluated for a "possible skin rash." The patient had not yet recovered from her experiences. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 274215 Before After
Age:22.0
Gender:Female
Location:North Carolina
Vaccinated:2007-02-08
Onset:2007-02-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Erythema, Melanocytic naevus, Pain, Rash, Skin hyperpigmentation, Injection site discolouration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness: Asthma
Preexisting Conditions: Cervical intraepithelial neoplasia; Benign pigmented naevus excision
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0702USA02321

Write-up:Information has been received from a physician concerning a 22 year old female with mild asthma and a history of CIN grade I (2003, 2005 and 2006) and a benign pigmented lesion removed from her inner thigh (2006) who on 08-FEB-2007 was vaccinated IM into the right arm with a 0.5 ml dose of Gardasil (yeast) (lot # 654535/0960F). Concomitant therapy included oral hormonal contraceptives (unspecified). Three on 11-FEB-2007 the patient developed two raised areas of hyperpigmented skin in the area of the injection site. The areas are 4 x 4 mm and 3 x 3 mm. The areas are described as are nevus like in appearance, linear, surrounded by erythema and painful. The patient is being evaluated for a "possible skin rash." The patient had not yet recovered from her experiences. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 274215 Before After
Age:22.0
Gender:Female
Location:North Carolina
Vaccinated:2007-02-08
Onset:2007-02-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Erythema, Melanocytic naevus, Pain, Rash, Skin hyperpigmentation, Injection site discolouration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness: Asthma
Preexisting Conditions: Cervical intraepithelial neoplasia; Benign pigmented naevus excision
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0702USA02321

Write-up:Information has been received from a physician concerning a 22 year old female with mild asthma and a history of CIN grade I (2003, 2005 and 2006) and a benign pigmented lesion removed from her inner thigh (2006) who on 08-FEB-2007 was vaccinated IM into the right arm with a 0.5 ml dose of Gardasil (yeast) (lot # 654535/0960F). Concomitant therapy included oral hormonal contraceptives (unspecified). Three on 11-FEB-2007 the patient developed two raised areas of hyperpigmented skin in the area of the injection site. The areas are 4 x 4 mm and 3 x 3 mm. The areas are described as are nevus like in appearance, linear, surrounded by erythema and painful. The patient is being evaluated for a "possible skin rash." The patient had not yet recovered from her experiences. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274215&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166