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This is VAERS ID 274708

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274708
VAERS Form:
Age:12.0
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 - / -

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

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

Write-up:Information has been received from an office manager concerning a 12 year old female who on an unspecified date was vaccinated with the first dose of Gardasil, injection. Concomitant medication was not reported. Subsequently on an unspecified date, the pa"tient experienced a rash over body and legs that caused severe itching after Gardasil vaccine was administered. On an unspecified date, the patient sought unspecified medical attention. The patient''''s rash over body and legs that caused severe itching per


Changed on 12/8/2009

274708 Before After
VAERS Form:
Age:12.0
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 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0702USA04351

Write-up:Information has been received from an office manager concerning a 12 year old female who on an unspecified date was vaccinated with the first dose of Gardasil, injection. Concomitant medication was not reported. Subsequently on an unspecified date, the pa"tient patient experienced a rash over body and legs that caused severe itching after Gardasil vaccine was administered. On an unspecified date, the patient sought unspecified medical attention. The patient''''s patient''s rash over body and legs that caused severe itching per persisted. Additional information has been requested.


Changed on 3/2/2010

274708 Before After
VAERS Form:
Age:12.0 13.0
Gender:Female
Location:Unknown Kansas
Vaccinated:0000-00-00 2007-02-16
Onset:0000-00-00 2007-02-16
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0800F / 0 - RA / - IJ

Administered by: Other Private      Purchased by: Other Private
Symptoms: Rash pruritic

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0702USA04351

Write-up:Information has been received from an office manager concerning a 12 year old female who on an unspecified date was vaccinated with the first dose of Gardasil, injection. Concomitant medication was not reported. Subsequently on an unspecified date, the patient experienced a rash over body and legs that caused severe itching after Gardasil vaccine was administered. On an unspecified date, the patient sought unspecified medical attention. The patient''s rash over body and legs that caused severe itching persisted. Additional information has been requested. Information received 04/03/2009. The patient''s rash over body and legs that caused sever itching was gone within 4-5 days. Additional informaiton is not expected.


Changed on 6/14/2014

274708 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Kansas
Vaccinated:2007-02-16
Onset:2007-02-16
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 RA / IJ

Administered by: Private      Purchased by: Private
Symptoms: Rash pruritic

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0702USA04351

Write-up:Information has been received from an office manager concerning a 12 year old female who on an unspecified date was vaccinated with the first dose of Gardasil, injection. Concomitant medication was not reported. Subsequently on an unspecified date, the patient experienced a rash over body and legs that caused severe itching after Gardasil was administered. On an unspecified date, the patient sought unspecified medical attention. The patient''s rash over body and legs that caused severe itching persisted. Additional information has been requested. Information received 04/03/2009. The patient''s rash over body and legs that caused sever itching was gone within 4-5 days. Additional informaiton is not expected.


Changed on 5/14/2017

274708 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Kansas
Vaccinated:2007-02-16
Onset:2007-02-16
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 RA / IJ

Administered by: Private      Purchased by: Private
Symptoms: Rash pruritic

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0702USA04351

Write-up:Information has been received from an office manager concerning a 12 year old female who on an unspecified date was vaccinated with the first dose of Gardasil, injection. Concomitant medication was not reported. Subsequently on an unspecified date, the patient experienced a rash over body and legs that caused severe itching after Gardasil was administered. On an unspecified date, the patient sought unspecified medical attention. The patient''s rash over body and legs that caused severe itching persisted. Additional information has been requested. Information received 04/03/2009. The patient''s rash over body and legs that caused sever itching was gone within 4-5 days. Additional informaiton is not expected.


Changed on 9/14/2017

274708 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Kansas
Vaccinated:2007-02-16
Onset:2007-02-16
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 1 RA / IJ

Administered by: Private      Purchased by: Private
Symptoms: Rash pruritic

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0702USA04351

Write-up:Information has been received from an office manager concerning a 12 year old female who on an unspecified date was vaccinated with the first dose of Gardasil, injection. Concomitant medication was not reported. Subsequently on an unspecified date, the patient experienced a rash over body and legs that caused severe itching after Gardasil was administered. On an unspecified date, the patient sought unspecified medical attention. The patient''s rash over body and legs that caused severe itching persisted. Additional information has been requested. Information received 04/03/2009. The patient''s rash over body and legs that caused sever itching was gone within 4-5 days. Additional informaiton is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274708&WAYBACKHISTORY=ON


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