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This is VAERS ID 275373

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 275373
Age:11.0
Gender:Female
Location:Connecticut
Vaccinated:2007-03-22
Onset:2007-03-24
Submitted:2007-03-30
Entered:2007-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Pruritus, Rash, Rash macular, Rash pruritic

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol inhaler, Prevacid
Current Illness: on 3/22/07 for epistaxis S/P trauma nose
Preexisting Conditions: Allergy Codeine (GI upset), HX GERD and exercise induced asthma.
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Pt seen at office on 3/26/07 c/o itchy rash to face. Reports XS began 2 days previously. Seen by DR noted macular rash face and neck and ordered Benadryl, Prn.


Changed on 12/8/2009

VAERS ID: 275373 Before After
Age:11.0
Gender:Female
Location:Connecticut
Vaccinated:2007-03-22
Onset:2007-03-24
Submitted:2007-03-30
Entered:2007-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Pruritus, Rash, Rash macular, Rash pruritic

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol inhaler, Prevacid
Current Illness: on 3/22/07 for epistaxis S/P trauma nose
Preexisting Conditions: Allergy Codeine (GI upset), HX GERD and exercise induced asthma.
Diagnostic Lab Data: None
CDC 'Split Type': (blank) CT200705

Write-up:Pt seen at office on 3/26/07 c/o itchy rash to face. Reports XS began 2 days previously. Seen by DR noted macular rash face and neck and ordered Benadryl, Prn.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=275373&WAYBACKHISTORY=ON


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