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This is VAERS ID 274585

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274585
VAERS Form:
Age:22.0
Gender:Female
Location:Arizona
Vaccinated:2007-02-20
Onset:2007-02-20
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pruritus, Urticaria, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up: Information has been received from a physician assistant concerning a 22 year old female with penicillin allergy who on 20-FEB-2007 was vaccinated with a first dose of HPV. On 20-FEB-2007 she developed itching, erythema and swelling at the injection site."On 21-FEB-2007 she developed hives on her abdomen, thighs and chest upon awakening. When she was seen by the physician assistant on 21-FEB-2007 the swelling and redness at the injection site was gone and the patient commented that the hives were less than


Changed on 12/8/2009

VAERS ID: 274585 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Arizona
Vaccinated:2007-02-20
Onset:2007-02-20
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site erythema, Injection site pruritus, Urticaria, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA04041

Write-up: Information has been received from a physician assistant concerning a 22 year old female with penicillin allergy who on 20-FEB-2007 was vaccinated with a first dose of HPV. On 20-FEB-2007 she developed itching, erythema and swelling at the injection site."On site. On 21-FEB-2007 she developed hives on her abdomen, thighs and chest upon awakening. When she was seen by the physician assistant on 21-FEB-2007 the swelling and redness at the injection site was gone and the patient commented that the hives were less than before. Her prescriber put her on Zyrtec (10 mg) daily for the hives. Unspecified medical attention was sought. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 274585 Before After
VAERS Form:(blank) 1
Age:22.0
Gender:Female
Location:Arizona
Vaccinated:2007-02-20
Onset:2007-02-20
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site pruritus, Urticaria, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA04041

Write-up: Information has been received from a physician assistant concerning a 22 year old female with penicillin allergy who on 20-FEB-2007 was vaccinated with a first dose of HPV. On 20-FEB-2007 she developed itching, erythema and swelling at the injection site. On 21-FEB-2007 she developed hives on her abdomen, thighs and chest upon awakening. When she was seen by the physician assistant on 21-FEB-2007 the swelling and redness at the injection site was gone and the patient commented that the hives were less than before. Her prescriber put her on Zyrtec (10 mg) daily for the hives. Unspecified medical attention was sought. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 274585 Before After
VAERS Form:1
Age:22.0
Gender:Female
Location:Arizona
Vaccinated:2007-02-20
Onset:2007-02-20
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site pruritus, Urticaria, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA04041

Write-up: Information has been received from a physician assistant concerning a 22 year old female with penicillin allergy who on 20-FEB-2007 was vaccinated with a first dose of HPV. On 20-FEB-2007 she developed itching, erythema and swelling at the injection site. On 21-FEB-2007 she developed hives on her abdomen, thighs and chest upon awakening. When she was seen by the physician assistant on 21-FEB-2007 the swelling and redness at the injection site was gone and the patient commented that the hives were less than before. Her prescriber put her on Zyrtec (10 mg) daily for the hives. Unspecified medical attention was sought. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274585&WAYBACKHISTORY=ON


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