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This is VAERS ID 274742

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274742
VAERS Form:
Age:
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. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: 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 a physician''''s assistant concerning a female (age not reported) who on an unspecified date was vaccinated with Gardasil (lot # not reported). Concomitant therapy was unspecified. The patient sought unspecified medical a"ttention. Subsequently, the patient experienced a rash. The specifics of the rash were not reported. The outcome of the rash was not reported. Additional information has been requested.


Changed on 12/8/2009

274742 Before After
VAERS Form:
Age:
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. - / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: 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) WAES0703USA00754

Write-up:Information has been received from a physician''''s physician''s assistant concerning a female (age not reported) who on an unspecified date was vaccinated with Gardasil (lot # not reported). Concomitant therapy was unspecified. The patient sought unspecified medical a"ttention. attention. Subsequently, the patient experienced a rash. The specifics of the rash were not reported. The outcome of the rash was not reported. Additional information has been requested.


Changed on 9/14/2017

274742 Before After
VAERS Form:(blank) 1
Age:
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. - / - UNK UN / -

Administered by: Other      Purchased by: Other
Symptoms: 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': WAES0703USA00754

Write-up:Information has been received from a physician''s assistant concerning a female (age not reported) who on an unspecified date was vaccinated with Gardasil (lot # not reported). Concomitant therapy was unspecified. The patient sought unspecified medical attention. Subsequently, the patient experienced a rash. The specifics of the rash were not reported. The outcome of the rash was not reported. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274742&WAYBACKHISTORY=ON


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