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This is VAERS ID 274715

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274715
Age:19.0
Gender:Female
Location:New York
Vaccinated:2007-01-16
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Rash generalised, Rash maculo-papular, Laboratory test, Blood test

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: diagnostic laboratory, routine blood work
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 19 year old female who on 14-NOV-2007 and 16-JAN-2007 was vaccinated intramuscularly with a 0.5 mL dose of HPV. On 16-JAN-2007, concomitant therapy included a second dose of varicella. Subsequent"ly, on an unspecified date, the patient developed a generalized body rash (20-30 lesions) which were macular papules/erythema and were mainly on the upper extremities and some on the abdomen. There were none on the hands or feet or in the mouth. The patie


Changed on 12/8/2009

VAERS ID: 274715 Before After
Age:19.0
Gender:Female
Location:New York
Vaccinated:2007-01-16
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Erythema, Rash generalised, Rash maculo-papular, Laboratory test, Blood test

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: diagnostic laboratory, routine blood work
CDC 'Split Type': (blank) WAES0702USA04529

Write-up:Information has been received from a physician concerning a 19 year old female who on 14-NOV-2007 and 16-JAN-2007 was vaccinated intramuscularly with a 0.5 mL dose of HPV. On 16-JAN-2007, concomitant therapy included a second dose of varicella. Subsequent"ly, Subsequently, on an unspecified date, the patient developed a generalized body rash (20-30 lesions) which were macular papules/erythema and were mainly on the upper extremities and some on the abdomen. There were none on the hands or feet or in the mouth. The patie patient did not have a temperature or lymph swelling. The papules/erythema were non-painful and not itchy. The physician stated that it did not present like chicken-pox. Routine blood work was performed (results not provided). At the time of this report, the outcome was unknown. No product quality complaint was involved. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274715&WAYBACKHISTORY=ON


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