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This is VAERS ID 274731

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274731
Age:16.0
Gender:Female
Location:Illinois
Vaccinated:2006-12-28
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: DEPO-PROVERA, CONCERTA
Current Illness: Depression
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a Registered Nurse (R.N.) concerning a 16 year old female patient with depression who on 28-DEC-2006 was vaccinated IM with her first dose of Gardasil, lot #654389/0961F. Concomitant therapy included CONCERTA and DEPO-PR"OVERA. The patient developed a generalized /"hive like rash/" after her first dose of Gardasil. The nurse reported that the rash /"comes and goes/". Unspecified medical attention was sought. The patient had not recovered as of the report date. Additional


Changed on 12/8/2009

VAERS ID: 274731 Before After
Age:16.0
Gender:Female
Location:Illinois
Vaccinated:2006-12-28
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: DEPO-PROVERA, CONCERTA
Current Illness: Depression
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA00074

Write-up:Information has been received from a Registered Nurse (R.N.) concerning a 16 year old female patient with depression who on 28-DEC-2006 was vaccinated IM with her first dose of Gardasil, lot #654389/0961F. Concomitant therapy included CONCERTA and DEPO-PR"OVERA. DEPO-PROVERA. The patient developed a generalized /"hive "hive like rash/" rash" after her first dose of Gardasil. The nurse reported that the rash /"comes "comes and goes/". goes". Unspecified medical attention was sought. The patient had not recovered as of the report date. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274731&WAYBACKHISTORY=ON


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