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This is VAERS ID 275552

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

275552
VAERS Form:
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2007-03-26
Onset:2007-03-28
Submitted:2007-04-03
Entered:2007-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM

Administered by: Military      Purchased by: Unknown
Symptoms: Body temperature increased, Rash maculo-papular, Rash pruritic

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

Write-up:Patient developed itchy, maculopapular rash on the palms 2 days after Gardasil was administered. Sje also had temp of 102 which lasted less than 1 day duration. Po benadryl given.


Changed on 9/14/2017

275552 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2007-03-26
Onset:2007-03-28
Submitted:2007-04-03
Entered:2007-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 1 LA / IM

Administered by: Military      Purchased by: Unknown
Symptoms: Body temperature increased, Rash maculo-papular, Rash pruritic

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

Write-up:Patient developed itchy, maculopapular rash on the palms 2 days after Gardasil was administered. Sje also had temp of 102 which lasted less than 1 day duration. Po benadryl given.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=275552&WAYBACKHISTORY=ON


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