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This is VAERS ID 274697

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274697
Age:17.0
Gender:Female
Location:Colorado
Vaccinated:2007-02-21
Onset:2007-02-27
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Food allergy, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NYQUIL
Current Illness: Allergic to cats; Food allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner concerning a 17 year old female patient with allergies to cast and scallops who on 21-FEB-2007 was vaccinated with a dose of Gardasil. Concomitant therapy included NYQUIL. 20 hours later, the patient"developed hives. Unspecified medical attention was sought. The patient''''s hives persisted. The reporter indicated the patient had hives from the vaccine. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 274697 Before After
Age:17.0
Gender:Female
Location:Colorado
Vaccinated:2007-02-21
Onset:2007-02-27
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Food allergy, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NYQUIL
Current Illness: Allergic to cats; Food allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0702USA04286

Write-up:Information has been received from a nurse practitioner concerning a 17 year old female patient with allergies to cast and scallops who on 21-FEB-2007 was vaccinated with a dose of Gardasil. Concomitant therapy included NYQUIL. 20 hours later, the patient"developed patient developed hives. Unspecified medical attention was sought. The patient''''s patient''s hives persisted. The reporter indicated the patient had hives from the vaccine. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274697&WAYBACKHISTORY=ON


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