Information Center
Your Health. Your Family. Your Choice.
|
|
National Vaccine Information Center Your Health. Your Family. Your Choice. |
MedAlerts Home |
| History of Changes from the VAERS Wayback Machine |
First Appeared on 12/31/2007 | ||
| VAERS ID: | 274299 |
| VAERS Form: | |
| Age: | |
| Gender: | Female |
| Location: | Unknown |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: | 2007-03-14 |
| Entered: | 2007-03-16 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / - | - / IM |
Administered by: Other Purchased by: Unknown
Symptoms: Rash
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':
Write-up: Information has been received from a physician concerning a female who was vaccinated with HPV. Subsequently the patient experience rash on back. Additional information has been requested.
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: | 2007-03-14 |
| Entered: | 2007-03-16 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / - | - / IM |
Administered by: Other Purchased by: Unknown Other
Symptoms: Rash
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA03496
Write-up: Information has been received from a physician concerning a female who was vaccinated with HPV. Gardasil (yeast). Subsequently the patient experience rash on back. Additional information has been requested.
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: | 2007-03-14 |
| Entered: | 2007-03-16 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / - UNK | - / IM |
Administered by: Other Purchased by: Other
Symptoms: Rash
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA03496
Write-up: Information has been received from a physician concerning a female who was vaccinated with Gardasil (yeast). Subsequently the patient experience rash on back. Additional information has been requested.
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: | 2007-03-14 |
| Entered: | 2007-03-16 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / UNK | - / IM |
Administered by: Other Purchased by: Other
Symptoms: Rash
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA03496
Write-up: Information has been received from a physician concerning a female who was vaccinated with Gardasil (yeast). Subsequently the patient experience rash on back. Additional information has been requested.
Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274299&WAYBACKHISTORY=ON
Copyright ©
2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166