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This is VAERS ID 275151

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

275151
VAERS Form:
Age:16.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-06
Onset:0000-00-00
Submitted:2007-03-19
Entered:2007-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Condition aggravated, Varicella, Juvenile arthritis, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Claritin D
Current Illness:
Preexisting Conditions: Amoxicillin
Allergies:
Diagnostic Lab Data: Bloodwork done by rheumatologist
CDC 'Split Type':

Write-up:Spoke with patient mother 3/13/07. Patient appeared to have what was thought to be chicken pox. Her rheumatologist did bloodwork and thinks that the vaccine flared up her Juvenile rheumatoid arthritis. Mother will call back with results of test and result"s from visit at John Hopkins.


Changed on 12/8/2009

275151 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-06
Onset:0000-00-00
Submitted:2007-03-19
Entered:2007-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Condition aggravated, Varicella, Juvenile arthritis, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Claritin D
Current Illness:
Preexisting Conditions: Amoxicillin
Allergies:
Diagnostic Lab Data: Bloodwork done by rheumatologist
CDC 'Split Type':

Write-up:Spoke with patient mother 3/13/07. Patient appeared to have what was thought to be chicken pox. Her rheumatologist did bloodwork and thinks that the vaccine flared up her Juvenile rheumatoid arthritis. Mother will call back with results of test and result"s results from visit at John Hopkins.


Changed on 3/2/2010

275151 Before After
VAERS Form:
Age:16.0 15.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-06
Onset:0000-00-00 2007-03-09
Submitted:2007-03-19
Entered:2007-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 - UN / - UN

Administered by: Private      Purchased by: Unknown
Symptoms: Condition aggravated, Varicella, Juvenile arthritis, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Claritin CLARITIN D
Current Illness:
Preexisting Conditions: Amoxicillin
Allergies:
Diagnostic Lab Data: Bloodwork done by rheumatologist
CDC 'Split Type':

Write-up:Spoke with patient mother 3/13/07. Patient appeared to have what was thought to be chicken pox. Her rheumatologist did bloodwork and thinks that the vaccine flared up her Juvenile rheumatoid arthritis. Mother will call back with results of test and results from visit at John Hopkins. visit.


Changed on 6/14/2014

275151 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-06
Onset:2007-03-09
Submitted:2007-03-19
Entered:2007-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Condition aggravated, Varicella, Juvenile arthritis, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: CLARITIN D
Current Illness:
Preexisting Conditions: Amoxicillin
Allergies:
Diagnostic Lab Data: Bloodwork done by rheumatologist
CDC 'Split Type':

Write-up:Spoke with patient mother 3/13/07. Patient appeared to have what was thought to be chicken pox. Her rheumatologist did bloodwork and thinks that the vaccine flared up her Juvenile rheumatoid arthritis. Mother will call back with results of test and results from visit.


Changed on 5/14/2017

275151 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-06
Onset:2007-03-09
Submitted:2007-03-19
Entered:2007-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Condition aggravated, Varicella, Juvenile arthritis, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: CLARITIN D
Current Illness:
Preexisting Conditions: Amoxicillin
Allergies:
Diagnostic Lab Data: Bloodwork done by rheumatologist
CDC 'Split Type':

Write-up:Spoke with patient mother 3/13/07. Patient appeared to have what was thought to be chicken pox. Her rheumatologist did bloodwork and thinks that the vaccine flared up her Juvenile rheumatoid arthritis. Mother will call back with results of test and results from visit.


Changed on 9/14/2017

275151 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Maryland
Vaccinated:2007-03-06
Onset:2007-03-09
Submitted:2007-03-19
Entered:2007-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 1 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Condition aggravated, Varicella, Juvenile arthritis, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: CLARITIN D
Current Illness:
Preexisting Conditions: Amoxicillin
Allergies:
Diagnostic Lab Data: Bloodwork done by rheumatologist
CDC 'Split Type':

Write-up:Spoke with patient mother 3/13/07. Patient appeared to have what was thought to be chicken pox. Her rheumatologist did bloodwork and thinks that the vaccine flared up her Juvenile rheumatoid arthritis. Mother will call back with results of test and results from visit.


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