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This is VAERS ID 274222

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274222
VAERS Form:
Age:24.0
Gender:Female
Location:West Virginia
Vaccinated:2007-01-31
Onset:2007-02-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Rash maculo-papular

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: Lipitor, Cholestryramine Resin, Yasmin
Current Illness:
Preexisting Conditions: Hyperlipidaemia; Ovarian cyst; Penicillin allergy
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner concerning a 24 year old female patient with Hyperlipidemia, polycystitis ovarian syndrome and penicillin allergy who on 31-JAN-2007 was vaccinated with a first dose of HPV (lot# 654702/0011U), intra"muscularly. Concomitant therapy included Lipitor and Yasmin. On 11-FEB-2007, the patient developed a maculopapular rash on her torso and bilateral upper extremities. The patient was evaluated at an urgent care facility and was prescribed a Prednisone pack


Changed on 12/8/2009

274222 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:West Virginia
Vaccinated:2007-01-31
Onset:2007-02-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Rash maculo-papular

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: Lipitor, Cholestryramine Resin, Yasmin
Current Illness:
Preexisting Conditions: Hyperlipidaemia; Ovarian cyst; Penicillin allergy
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA02541

Write-up:Information has been received from a nurse practitioner concerning a 24 year old female patient with Hyperlipidemia, polycystitis ovarian syndrome and penicillin allergy who on 31-JAN-2007 was vaccinated with a first dose of HPV Gardasil (yeast) (lot# 654702/0011U), intra"muscularly. intramuscularly. Concomitant therapy included Lipitor cholestyramine resin, atorvastatin calcium (Lipitor) and Yasmin. drospireneone + ethinyl estradiol (Yasmin). On 11-FEB-2007, the patient developed a maculopapular rash on her torso and bilateral upper extremities. The patient was evaluated at an urgent care facility and was prescribed a Prednisone pack pack. At the time of the report the patient was considered to be not recovered. Unspecified medical attention was sought. Additional information has been requested.


Changed on 3/2/2010

274222 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:West Virginia
Vaccinated:2007-01-31
Onset:2007-02-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 - LA / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No 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: Lipitor, Cholestryramine Resin, Yasmin LIPITOR; Cholestyramine Resin; YASMIN
Current Illness: Hyperlipidaemia; Polycystic ovarian syndrome; Penicillin allergy; Ovarian cyst
Preexisting Conditions: Hyperlipidaemia; Ovarian cyst; Penicillin allergy
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02541

Write-up:Information has been received from a nurse practitioner concerning a 24 year old female patient with Hyperlipidemia, polycystitis ovarian syndrome and penicillin allergy who on 31-JAN-2007 was vaccinated with a first dose of Gardasil (yeast) (lot# 654702/0011U), intramuscularly. Concomitant therapy included cholestyramine resin, atorvastatin calcium (Lipitor) and drospireneone + ethinyl estradiol (Yasmin). On 11-FEB-2007, the patient developed a maculopapular rash on her torso and bilateral upper extremities. The patient was evaluated at an urgent care facility and was prescribed a Prednisone pack. At the time of the report the patient was considered to be not recovered. Unspecified medical attention was sought. 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 nurse practitioner concerning a 24 year old female with hyperlipidemia, Polycystic ovarian syndrome, ovarian cyst and penicillin allergy who on 31-JAN-2007 was vaccinated with a first dose of GARDASIL, (lot # 654702/0011U), in left deltoid intramuscularly. Concomitant therapy included cholestyramine resin, LIPITOR and YASMIN. On 11-FEB-2007, the patient developed a maculopapular rash on her torso, chest, and bilateral upper extremities. The patient was evaluated at an urgent care facility and was prescribed a prednisone pack, tapered dose. As of 14-MAR-2007 the patient''s outcome was unknown. Additional information is not expected.


Changed on 6/14/2014

274222 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:West Virginia
Vaccinated:2007-01-31
Onset:2007-02-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Rash maculo-papular

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: LIPITOR; Cholestyramine Resin; YASMIN
Current Illness: Hyperlipidaemia; Polycystic ovarian syndrome; Penicillin allergy; Ovarian cyst
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02541

Write-up:Information has been received from a nurse practitioner concerning a 24 year old female patient with Hyperlipidemia, polycystitis ovarian syndrome and penicillin allergy who on 31-JAN-2007 was vaccinated with a first dose of Gardasil (yeast) (lot# 654702/0011U), intramuscularly. Concomitant therapy included cholestyramine resin, atorvastatin calcium (Lipitor) and drospireneone + ethinyl estradiol (Yasmin). On 11-FEB-2007, the patient developed a maculopapular rash on her torso and bilateral upper extremities. The patient was evaluated at an urgent care facility and was prescribed a Prednisone pack. At the time of the report the patient was considered to be not recovered. Unspecified medical attention was sought. 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 nurse practitioner concerning a 24 year old female with hyperlipidemia, Polycystic ovarian syndrome, ovarian cyst and penicillin allergy who on 31-JAN-2007 was vaccinated with a first dose of GARDASIL, (lot # 654702/0011U), in left deltoid intramuscularly. Concomitant therapy included cholestyramine resin, LIPITOR and YASMIN. On 11-FEB-2007, the patient developed a maculopapular rash on her torso, chest, and bilateral upper extremities. The patient was evaluated at an urgent care facility and was prescribed a prednisone pack, tapered dose. As of 14-MAR-2007 the patient''s outcome was unknown. Additional information is not expected.


Changed on 5/14/2017

274222 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:West Virginia
Vaccinated:2007-01-31
Onset:2007-02-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Rash maculo-papular

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: LIPITOR; Cholestyramine Resin; YASMIN
Current Illness: Hyperlipidaemia; Polycystic ovarian syndrome; Penicillin allergy; Ovarian cyst
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02541

Write-up:Information has been received from a nurse practitioner concerning a 24 year old female patient with Hyperlipidemia, polycystitis ovarian syndrome and penicillin allergy who on 31-JAN-2007 was vaccinated with a first dose of Gardasil (yeast) (lot# 654702/0011U), intramuscularly. Concomitant therapy included cholestyramine resin, atorvastatin calcium (Lipitor) and drospireneone + ethinyl estradiol (Yasmin). On 11-FEB-2007, the patient developed a maculopapular rash on her torso and bilateral upper extremities. The patient was evaluated at an urgent care facility and was prescribed a Prednisone pack. At the time of the report the patient was considered to be not recovered. Unspecified medical attention was sought. 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 nurse practitioner concerning a 24 year old female with hyperlipidemia, Polycystic ovarian syndrome, ovarian cyst and penicillin allergy who on 31-JAN-2007 was vaccinated with a first dose of GARDASIL, (lot # 654702/0011U), in left deltoid intramuscularly. Concomitant therapy included cholestyramine resin, LIPITOR and YASMIN. On 11-FEB-2007, the patient developed a maculopapular rash on her torso, chest, and bilateral upper extremities. The patient was evaluated at an urgent care facility and was prescribed a prednisone pack, tapered dose. As of 14-MAR-2007 the patient''s outcome was unknown. Additional information is not expected.


Changed on 9/14/2017

274222 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Female
Location:West Virginia
Vaccinated:2007-01-31
Onset:2007-02-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Rash maculo-papular

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: LIPITOR; Cholestyramine Resin; YASMIN
Current Illness: Hyperlipidaemia; Polycystic ovarian syndrome; Penicillin allergy; Ovarian cyst
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02541

Write-up:Information has been received from a nurse practitioner concerning a 24 year old female patient with Hyperlipidemia, polycystitis ovarian syndrome and penicillin allergy who on 31-JAN-2007 was vaccinated with a first dose of Gardasil (yeast) (lot# 654702/0011U), intramuscularly. Concomitant therapy included cholestyramine resin, atorvastatin calcium (Lipitor) and drospireneone + ethinyl estradiol (Yasmin). On 11-FEB-2007, the patient developed a maculopapular rash on her torso and bilateral upper extremities. The patient was evaluated at an urgent care facility and was prescribed a Prednisone pack. At the time of the report the patient was considered to be not recovered. Unspecified medical attention was sought. 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 nurse practitioner concerning a 24 year old female with hyperlipidemia, Polycystic ovarian syndrome, ovarian cyst and penicillin allergy who on 31-JAN-2007 was vaccinated with a first dose of GARDASIL, (lot # 654702/0011U), in left deltoid intramuscularly. Concomitant therapy included cholestyramine resin, LIPITOR and YASMIN. On 11-FEB-2007, the patient developed a maculopapular rash on her torso, chest, and bilateral upper extremities. The patient was evaluated at an urgent care facility and was prescribed a prednisone pack, tapered dose. As of 14-MAR-2007 the patient''s outcome was unknown. Additional information is not expected.


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