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This is VAERS ID 274576

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274576
VAERS Form:
Age:18.0
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. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Rash

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a nurse concerning an 18 year old female who, on an unspecified date, was vaccinated intramuscularly with a first dose of HPV. Subsequently, on an unspecified date, the patient developed a rash. The patient did not seek"medical attention. Subsequently, on an unspecified date, the patient recovered. No product quality complaint was involved. Additional information is not expected.


Changed on 12/8/2009

274576 Before After
VAERS Form:
Age:18.0
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. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Rash

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA03949

Write-up:Information has been received from a nurse concerning an 18 year old female who, on an unspecified date, was vaccinated intramuscularly with a first dose of HPV. Subsequently, on an unspecified date, the patient developed a rash. The patient did not seek"medical seek medical attention. Subsequently, on an unspecified date, the patient recovered. No product quality complaint was involved. Additional information is not expected.


Changed on 9/14/2017

274576 Before After
VAERS Form:(blank) 1
Age:18.0
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. - / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Rash

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA03949

Write-up:Information has been received from a nurse concerning an 18 year old female who, on an unspecified date, was vaccinated intramuscularly with a first dose of HPV. Subsequently, on an unspecified date, the patient developed a rash. The patient did not seek medical attention. Subsequently, on an unspecified date, the patient recovered. No product quality complaint was involved. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274576&WAYBACKHISTORY=ON


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