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This is VAERS ID 274220

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274220
VAERS Form:
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-26
Onset:2007-01-26
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: Injection site pruritus, Pruritus generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: hormonal contraceptives
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a consumer concerning her 18 year old old daughter with no pertinent medical history who on 26-JAN-2007 was vaccinated with her first dose of HPV. Concomitant therapy included hormonal contraceptives (unspecified). On 26"-JAN-2007 the patient experienced itching at the injection site that developed into full body itching. Medical attention was sought. The patient was treated with Benadryl. There were no laboratory or diagnostic tests performed. At the time of the report,


Changed on 12/8/2009

274220 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-26
Onset:2007-01-26
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: Injection site pruritus, Pruritus generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: hormonal contraceptives
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA02449

Write-up:Information has been received from a consumer concerning her 18 year old old daughter with no pertinent medical history who on 26-JAN-2007 was vaccinated with her first dose of HPV. Concomitant therapy included hormonal contraceptives (unspecified). On 26"-JAN-2007 26-JAN-2007 the patient experienced itching at the injection site that developed into full body itching. Medical attention was sought. The patient was treated with Benadryl. There were no laboratory or diagnostic tests performed. At the time of the report, the patient had not recovered. Her second dose was scheduled for 23-MAR-2007. Additional information has been requested.


Changed on 2/5/2010

274220 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-26
Onset:2007-01-26
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 1161F / 0 - / -

Administered by: Other      Purchased by: Other
Symptoms: Injection site pruritus, Pruritus generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: hormonal contraceptives
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02449

Write-up:Information has been received from a consumer concerning her 18 year old old daughter with no pertinent medical history who on 26-JAN-2007 was vaccinated with her first dose of HPV. Concomitant therapy included hormonal contraceptives (unspecified). On 26-JAN-2007 the patient experienced itching at the injection site that developed into full body itching. Medical attention was sought. The patient was treated with Benadryl. There were no laboratory or diagnostic tests performed. At the time of the report, the patient had not recovered. Her second dose was scheduled for 23-MAR-2007. Additional information has been requested.


Changed on 3/2/2010

274220 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-26
Onset:2007-01-26
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1161F / 0 - LA / - IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Injection site pruritus, Pruritus generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: hormonal contraceptives YASMIN
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02449

Write-up:Information has been received from a consumer concerning her 18 year old old daughter with no pertinent medical history who on 26-JAN-2007 was vaccinated with her first dose of HPV. Concomitant therapy included hormonal contraceptives (unspecified). On 26-JAN-2007 the patient experienced itching at the injection site that developed into full body itching. Medical attention was sought. The patient was treated with Benadryl. There were no laboratory or diagnostic tests performed. At the time of the report, the patient had not recovered. Her second dose was scheduled for 23-MAR-2007. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 3/14/2007. Initial and follow-up information has been received from a physician and a consumer concerning her 18 year old daughter with no pertinent medical history who on 26-JAN-2007 was vaccinated intramuscularly, into the left arm, with her first dose of GARDASIL (lot 654540/1161F). Concomitant therapy included YASMIN. On 26-JAN-2007 the patient experienced itching at the injection site that developed into full body itching. Medical attention was sought. The patient was treated with BENADRYL. There were no laboratory or diagnostic tests performed. At the time of the report, the patient had not recovered. Her second dose was scheduled for 23-MAR-2007. Additional information is not expected.


Changed on 6/14/2014

274220 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-26
Onset:2007-01-26
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1161F / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site pruritus, Pruritus generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: YASMIN
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02449

Write-up:Information has been received from a consumer concerning her 18 year old old daughter with no pertinent medical history who on 26-JAN-2007 was vaccinated with her first dose of HPV. Concomitant therapy included hormonal contraceptives (unspecified). On 26-JAN-2007 the patient experienced itching at the injection site that developed into full body itching. Medical attention was sought. The patient was treated with Benadryl. There were no laboratory or diagnostic tests performed. At the time of the report, the patient had not recovered. Her second dose was scheduled for 23-MAR-2007. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 3/14/2007. Initial and follow-up information has been received from a physician and a consumer concerning her 18 year old daughter with no pertinent medical history who on 26-JAN-2007 was vaccinated intramuscularly, into the left arm, with her first dose of GARDASIL (lot 654540/1161F). Concomitant therapy included YASMIN. On 26-JAN-2007 the patient experienced itching at the injection site that developed into full body itching. Medical attention was sought. The patient was treated with BENADRYL. There were no laboratory or diagnostic tests performed. At the time of the report, the patient had not recovered. Her second dose was scheduled for 23-MAR-2007. Additional information is not expected.


Changed on 5/14/2017

274220 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-26
Onset:2007-01-26
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1161F / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site pruritus, Pruritus generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: YASMIN
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02449

Write-up:Information has been received from a consumer concerning her 18 year old old daughter with no pertinent medical history who on 26-JAN-2007 was vaccinated with her first dose of HPV. Concomitant therapy included hormonal contraceptives (unspecified). On 26-JAN-2007 the patient experienced itching at the injection site that developed into full body itching. Medical attention was sought. The patient was treated with Benadryl. There were no laboratory or diagnostic tests performed. At the time of the report, the patient had not recovered. Her second dose was scheduled for 23-MAR-2007. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 3/14/2007. Initial and follow-up information has been received from a physician and a consumer concerning her 18 year old daughter with no pertinent medical history who on 26-JAN-2007 was vaccinated intramuscularly, into the left arm, with her first dose of GARDASIL (lot 654540/1161F). Concomitant therapy included YASMIN. On 26-JAN-2007 the patient experienced itching at the injection site that developed into full body itching. Medical attention was sought. The patient was treated with BENADRYL. There were no laboratory or diagnostic tests performed. At the time of the report, the patient had not recovered. Her second dose was scheduled for 23-MAR-2007. Additional information is not expected.


Changed on 9/14/2017

274220 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-26
Onset:2007-01-26
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1161F / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site pruritus, Pruritus generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: YASMIN
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02449

Write-up:Information has been received from a consumer concerning her 18 year old old daughter with no pertinent medical history who on 26-JAN-2007 was vaccinated with her first dose of HPV. Concomitant therapy included hormonal contraceptives (unspecified). On 26-JAN-2007 the patient experienced itching at the injection site that developed into full body itching. Medical attention was sought. The patient was treated with Benadryl. There were no laboratory or diagnostic tests performed. At the time of the report, the patient had not recovered. Her second dose was scheduled for 23-MAR-2007. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 3/14/2007. Initial and follow-up information has been received from a physician and a consumer concerning her 18 year old daughter with no pertinent medical history who on 26-JAN-2007 was vaccinated intramuscularly, into the left arm, with her first dose of GARDASIL (lot 654540/1161F). Concomitant therapy included YASMIN. On 26-JAN-2007 the patient experienced itching at the injection site that developed into full body itching. Medical attention was sought. The patient was treated with BENADRYL. There were no laboratory or diagnostic tests performed. At the time of the report, the patient had not recovered. Her second dose was scheduled for 23-MAR-2007. Additional information is not expected.


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