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This is VAERS ID 274735

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274735
Age:
Gender:Female
Location:New York
Vaccinated:2007-02-23
Onset:2007-02-23
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Cervical dysplasia
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a female with high grade cervical dysplasia who on 23-FEB-2007 was vaccinated intramuscularly, into the left deltoid, with a first 0.5 ml dose of Gardasil (lot #653735/0014U). There was no c"oncomitant medication. A few days after the vaccination, the patient developed a red, itchy, bumpy rash at the injection site. Unspecified medical attention was sought. There were no laboratory or diagnostic tests performed. At the time of the report, the


Changed on 12/8/2009

VAERS ID: 274735 Before After
Age:
Gender:Female
Location:New York
Vaccinated:2007-02-23
Onset:2007-02-23
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 LA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Cervical dysplasia
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0703USA00107

Write-up:Information has been received from a registered nurse concerning a female with high grade cervical dysplasia who on 23-FEB-2007 was vaccinated intramuscularly, into the left deltoid, with a first 0.5 ml dose of Gardasil (lot #653735/0014U). #653736/0014U). There was no c"oncomitant concomitant medication. A few days after the vaccination, the patient developed a red, itchy, bumpy rash at the injection site. Unspecified medical attention was sought. There were no laboratory or diagnostic tests performed. At the time of the report, the patient''s outcome was unknown. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 274735 Before After
Age:(blank) 25.0
Gender:Female
Location:New York
Vaccinated:2007-02-23
Onset:2007-02-23
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Cervical dysplasia
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA00107

Write-up:Information has been received from a registered nurse concerning a female with high grade cervical dysplasia who on 23-FEB-2007 was vaccinated intramuscularly, into the left deltoid, with a first 0.5 ml dose of Gardasil (lot #653736/0014U). There was no concomitant medication. A few days after the vaccination, the patient developed a red, itchy, bumpy rash at the injection site. Unspecified medical attention was sought. There were no laboratory or diagnostic tests performed. At the time of the report, the patient''s outcome was unknown. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 274735 Before After
Age:25.0
Gender:Female
Location:New York
Vaccinated:2007-02-23
Onset:2007-02-23 2007-02-24
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 LA / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Cervical dysplasia dysplasia; Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA00107

Write-up:Information has been received from a registered nurse concerning a female with high grade cervical dysplasia who on 23-FEB-2007 was vaccinated intramuscularly, into the left deltoid, with a first 0.5 ml dose of Gardasil (lot #653736/0014U). There was no concomitant medication. A few days after the vaccination, the patient developed a red, itchy, bumpy rash at the injection site. Unspecified medical attention was sought. There were no laboratory or diagnostic tests performed. At the time of the report, the patient''s outcome was unknown. Additional information has been requested. Follow-up received 04/03/2009. Subsequently the patient recovered. Penicillin allergy. No further information is available.


Changed on 6/14/2014

VAERS ID: 274735 Before After
Age:25.0
Gender:Female
Location:New York
Vaccinated:2007-02-23
Onset:2007-02-24
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Cervical dysplasia; Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA00107

Write-up:Information has been received from a registered nurse concerning a female with high grade cervical dysplasia who on 23-FEB-2007 was vaccinated intramuscularly, into the left deltoid, with a first 0.5 ml dose of Gardasil (lot #653736/0014U). There was no concomitant medication. A few days after the vaccination, the patient developed a red, itchy, bumpy rash at the injection site. Unspecified medical attention was sought. There were no laboratory or diagnostic tests performed. At the time of the report, the patient''s outcome was unknown. Additional information has been requested. Follow-up received 04/03/2009. Subsequently the patient recovered. Penicillin allergy. No further information is available.


Changed on 5/14/2017

VAERS ID: 274735 Before After
Age:25.0
Gender:Female
Location:New York
Vaccinated:2007-02-23
Onset:2007-02-24
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Cervical dysplasia; Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA00107

Write-up:Information has been received from a registered nurse concerning a female with high grade cervical dysplasia who on 23-FEB-2007 was vaccinated intramuscularly, into the left deltoid, with a first 0.5 ml dose of Gardasil (lot #653736/0014U). There was no concomitant medication. A few days after the vaccination, the patient developed a red, itchy, bumpy rash at the injection site. Unspecified medical attention was sought. There were no laboratory or diagnostic tests performed. At the time of the report, the patient''s outcome was unknown. Additional information has been requested. Follow-up received 04/03/2009. Subsequently the patient recovered. Penicillin allergy. No further information is available.


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