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This is VAERS ID 274734

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274734
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-01-01
Onset:0000-00-00
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: Blister, Herpes zoster, Pain, Rash

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

Write-up:Information has been received from the mother of a female consumer who in January 2007, was vaccinated with a dose of Gardasil. The patient experienced pain, a rash and then full blown blisters. She went to her physician and was diagnosed as shingles. The"patient''''s outcome was unknown. No further information is available.


Changed on 12/8/2009

274734 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-01-01
Onset:0000-00-00
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: Blister, Herpes zoster, Pain, Rash

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA00090

Write-up:Information has been received from the mother of a female consumer who in January 2007, was vaccinated with a dose of Gardasil. The patient experienced pain, a rash and then full blown blisters. She went to her physician and was diagnosed as shingles. The"patient''''s The patient''s outcome was unknown. No further information is available.


Changed on 9/14/2017

274734 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-01-01
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / -

Administered by: Other      Purchased by: Other
Symptoms: Blister, Herpes zoster, Pain, Rash

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA00090

Write-up:Information has been received from the mother of a female consumer who in January 2007, was vaccinated with a dose of Gardasil. The patient experienced pain, a rash and then full blown blisters. She went to her physician and was diagnosed as shingles. The patient''s outcome was unknown. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274734&WAYBACKHISTORY=ON


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