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This is VAERS ID 274374

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274374
VAERS Form:
Age:23.0
Gender:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-03-19
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ortho Tricyclen
Current Illness:
Preexisting Conditions: Neurofibromytosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt received vaccine/Gardasil 1/15/07. One week later, developed hives which lasted one week. Pt treated with Benadryl for symptoms relief.


Changed on 12/8/2009

274374 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-03-19
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ortho Tricyclen
Current Illness:
Preexisting Conditions: Neurofibromytosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt received vaccine/Gardasil 1/15/07. One week later, developed hives which lasted one week. Pt treated with Benadryl for symptoms relief.


Changed on 3/2/2010

274374 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Connecticut
Vaccinated:0000-00-00 2007-01-15
Onset:0000-00-00 2007-01-22
Submitted:2007-03-19
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ortho Tricyclen ORTHO TRICYCLEN
Current Illness:
Preexisting Conditions: Neurofibromytosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt received vaccine/Gardasil vaccine/GARDASIL 1/15/07. One week later, developed hives which lasted one week. Pt treated with Benadryl BENADRYL for symptoms relief. Follow-up information received - Date of vaccination and Adverese event onset date.


Changed on 6/14/2014

274374 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Connecticut
Vaccinated:2007-01-15
Onset:2007-01-22
Submitted:2007-03-19
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: ORTHO TRICYCLEN
Current Illness:
Preexisting Conditions: Neurofibromytosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt received vaccine/GARDASIL 1/15/07. One week later, developed hives which lasted one week. Pt treated with BENADRYL for symptoms relief. Follow-up information received - Date of vaccination and Adverese event onset date.


Changed on 5/14/2017

274374 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Connecticut
Vaccinated:2007-01-15
Onset:2007-01-22
Submitted:2007-03-19
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: ORTHO TRICYCLEN
Current Illness:
Preexisting Conditions: Neurofibromytosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt received vaccine/GARDASIL 1/15/07. One week later, developed hives which lasted one week. Pt treated with BENADRYL for symptoms relief. Follow-up information received - Date of vaccination and Adverese event onset date.


Changed on 9/14/2017

274374 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:Connecticut
Vaccinated:2007-01-15
Onset:2007-01-22
Submitted:2007-03-19
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: ORTHO TRICYCLEN
Current Illness:
Preexisting Conditions: Neurofibromytosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt received vaccine/GARDASIL 1/15/07. One week later, developed hives which lasted one week. Pt treated with BENADRYL for symptoms relief. Follow-up information received - Date of vaccination and Adverese event onset date.


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