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This is VAERS ID 275559

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 275559
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-03-26
Onset:2007-03-27
Submitted:2007-04-03
Entered:2007-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B009AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Rash papular

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: nickel and lactose allergies
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:patient developed a skin collored papular nonpruritic rash on arms and face 5 days after receiving hpv and tdap vaccines. came to the doctors to be evalauted for the rash. no other symptoms or sequelae


Changed on 12/8/2009

VAERS ID: 275559 Before After
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-03-26
Onset:2007-03-27
Submitted:2007-04-03
Entered:2007-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B009AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Rash papular

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: nickel and lactose allergies
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:patient developed a skin collored papular nonpruritic rash on arms and face 5 days after receiving hpv and tdap vaccines. came to the doctors to be evalauted for the rash. no other symptoms or sequelae


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=275559&WAYBACKHISTORY=ON


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