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This is VAERS ID 274224

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274224
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Diarrhoea, Rash generalised

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall Tablets
Current Illness:
Preexisting Conditions: Shellfish allergy; Attention deficit/hyperactivity disorder
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner concerning her 17 year old daughter with attention deficit/hyperactivity disorder and a history of shellfish allergy (as a child: outgrew) who in November 2006, was vaccinated in the right deltoid, I"M with a first dose of HPV (Lot # not reported). Her second dose of HPV (Lot # 653650-0640F) was administered IM into the right deltoid in January 2007. Concomitant therapy included Adderall. The nurse practitioner reported that 3 days after each dose of


Changed on 12/8/2009

VAERS ID: 274224 Before After
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Diarrhoea, Rash generalised

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall Tablets
Current Illness:
Preexisting Conditions: Shellfish allergy; Attention deficit/hyperactivity disorder
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA02660

Write-up:Information has been received from a nurse practitioner concerning her 17 year old daughter with attention deficit/hyperactivity disorder and a history of shellfish allergy (as a child: outgrew) who in November 2006, was vaccinated in the right deltoid, I"M IM with a first dose of HPV (Lot # not reported). Her second dose of HPV (Lot # 653650-0640F) was administered IM into the right deltoid in January 2007. Concomitant therapy included Adderall. The nurse practitioner reported that 3 days after each dose of HPV, her daughter developed diarrhea (unspecified dates in November 2006 and January 2007). The diarrhea was reported to be "relatively severe and spontaneously resolved". On an unspecified date in January 2007, on the fourth day after the second dose, the patient "developed a rash on her knees and thigh that spread during the day until she was covered in a rash from her neck to her feet." She was treated with Benadryl and it resolved. The reporter noted that the decision was made to discontinue the series so a third dose would not be given. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 274224 Before After
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0640F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Rash generalised

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall Tablets
Current Illness:
Preexisting Conditions: Shellfish allergy; Attention deficit/hyperactivity disorder
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA02660

Write-up:Information has been received from a nurse practitioner concerning her 17 year old daughter with attention deficit/hyperactivity disorder and a history of shellfish allergy (as a child: outgrew) who in November 2006, was vaccinated in the right deltoid, IM with a first dose of HPV (Lot # not reported). Her second dose of HPV (Lot # 653650-0640F) was administered IM into the right deltoid in January 2007. Concomitant therapy included Adderall. The nurse practitioner reported that 3 days after each dose of HPV, her daughter developed diarrhea (unspecified dates in November 2006 and January 2007). The diarrhea was reported to be "relatively severe and spontaneously resolved". On an unspecified date in January 2007, on the fourth day after the second dose, the patient "developed a rash on her knees and thigh that spread during the day until she was covered in a rash from her neck to her feet." She was treated with Benadryl and it resolved. The reporter noted that the decision was made to discontinue the series so a third dose would not be given. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 274224 Before After
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0640F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Rash generalised

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall Tablets
Current Illness: Attention deficit/hyperactivity disorder
Preexisting Conditions: Shellfish allergy; Attention deficit/hyperactivity disorder
Diagnostic Lab Data: NONE None
CDC 'Split Type': WAES0702USA02660

Write-up:Information has been received from a nurse practitioner concerning her 17 year old daughter with attention deficit/hyperactivity disorder and a history of shellfish allergy (as a child: outgrew) who in November 2006, 06-NOV-2006 at 1:00PM, was vaccinated in the left deltoid (previously reported as right deltoid, deltoid), IM with a first dose of HPV GARDSIL (Lot # not reported). 653650/0640F). Her second dose of HPV GARDASIL vaccine (Lot # 653650-0640F) was administered IM intramuscularly into the right deltoid in January 2007. deltoidon 16-January-2007, at 2:00PM. Concomitant therapy included Adderall. ADDERALL. There was no illness at the time of vaccination. The nurse practitioner reported that 3 days after each dose of HPV, GARDSIL vaccine, her daughter developed diarrhea (unspecified dates in November 2006 diarrhea, on 09-NOV-2006 and January 2007). 19-JAN-2007, respectively. The diarrhea was reported to be "relatively severe and spontaneously resolved". resolved" (dates unspecified). On an unspecified date in January 2007, 20-January-2007 at 8:00AM, on the fourth day after the second dose, the patient "developed a rash on her knees and thigh that spread during the day until she was covered in a rash from her neck to her feet." In follow-up, the nurse practitioner confirmed that the patient developed a rash four days post vaccination that covered her legs, trunk, arms and neck. She was treated with Benadryl BENADRYL and it resolved. The reporter noted that the decision was made to discontinue the series so a third dose would not be given. The patient sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 3/14/2007. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 274224 Before After
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0640F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Rash generalised

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall Tablets
Current Illness: Attention deficit/hyperactivity disorder
Preexisting Conditions: Shellfish allergy; Attention deficit/hyperactivity disorder
Diagnostic Lab Data: None
CDC 'Split Type': WAES0702USA02660

Write-up:Information has been received from a nurse practitioner concerning her 17 year old daughter with attention deficit/hyperactivity disorder and a history of shellfish allergy (as a child: outgrew) who in 06-NOV-2006 at 1:00PM, was vaccinated in the left deltoid (previously reported as right deltoid), IM with a first dose of GARDSIL (Lot # 653650/0640F). Her second dose of GARDASIL vaccine (Lot # 653650-0640F) was administered intramuscularly into the right deltoidon 16-January-2007, at 2:00PM. Concomitant therapy included ADDERALL. There was no illness at the time of vaccination. The nurse practitioner reported that 3 days after each dose of GARDSIL vaccine, her daughter developed diarrhea, on 09-NOV-2006 and 19-JAN-2007, respectively. The diarrhea was reported to be "relatively severe and spontaneously resolved" (dates unspecified). On 20-January-2007 at 8:00AM, on the fourth day after the second dose, the patient "developed a rash on her knees and thigh that spread during the day until she was covered in a rash from her neck to her feet." In follow-up, the nurse practitioner confirmed that the patient developed a rash four days post vaccination that covered her legs, trunk, arms and neck. She was treated with BENADRYL and it resolved. The reporter noted that the decision was made to discontinue the series so a third dose would not be given. The patient sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 3/14/2007. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 274224 Before After
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0640F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea, Rash generalised

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall Tablets
Current Illness: Attention deficit/hyperactivity disorder
Preexisting Conditions: Shellfish allergy; Attention deficit/hyperactivity disorder
Diagnostic Lab Data: None
CDC 'Split Type': WAES0702USA02660

Write-up:Information has been received from a nurse practitioner concerning her 17 year old daughter with attention deficit/hyperactivity disorder and a history of shellfish allergy (as a child: outgrew) who in 06-NOV-2006 at 1:00PM, was vaccinated in the left deltoid (previously reported as right deltoid), IM with a first dose of GARDSIL (Lot # 653650/0640F). Her second dose of GARDASIL vaccine (Lot # 653650-0640F) was administered intramuscularly into the right deltoidon 16-January-2007, at 2:00PM. Concomitant therapy included ADDERALL. There was no illness at the time of vaccination. The nurse practitioner reported that 3 days after each dose of GARDSIL vaccine, her daughter developed diarrhea, on 09-NOV-2006 and 19-JAN-2007, respectively. The diarrhea was reported to be "relatively severe and spontaneously resolved" (dates unspecified). On 20-January-2007 at 8:00AM, on the fourth day after the second dose, the patient "developed a rash on her knees and thigh that spread during the day until she was covered in a rash from her neck to her feet." In follow-up, the nurse practitioner confirmed that the patient developed a rash four days post vaccination that covered her legs, trunk, arms and neck. She was treated with BENADRYL and it resolved. The reporter noted that the decision was made to discontinue the series so a third dose would not be given. The patient sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 3/14/2007. Additional information is not expected.


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