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This is VAERS ID 274356

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274356
Age:13.0
Gender:Female
Location:California
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-02-09
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) / AVENTIS PASTEUR U2176FA / 0 - / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Broke out in hives within 24 hours of receiving HPV and Flu vaccine.


Changed on 12/8/2009

VAERS ID: 274356 Before After
Age:13.0
Gender:Female
Location:California
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-02-09
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U2176FA / 0 - / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 - / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Broke out in hives within 24 hours of receiving HPV and Flu vaccine.


Changed on 7/7/2013

VAERS ID: 274356 Before After
Age:13.0
Gender:Female
Location:California
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-02-09
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U2176FA / 0 - / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U2176FA / 0 - / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Broke out in hives within 24 hours of receiving HPV and Flu vaccine.


Changed on 5/14/2017

VAERS ID: 274356 Before After
Age:13.0
Gender:Female
Location:California
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-02-09
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR SANOFI PASTEUR U2176FA / 0 - / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Broke out in hives within 24 hours of receiving HPV and Flu vaccine.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274356&WAYBACKHISTORY=ON


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