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This is VAERS ID 275562

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

275562
VAERS Form:
Age:23.0
Gender:Female
Location:Maine
Vaccinated:2007-03-30
Onset:2007-04-03
Submitted:2007-04-03
Entered:2007-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Local reaction, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: mIRENA iud
Current Illness: NO
Preexisting Conditions: CODEINE,SULFA,CEFZIL
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:LOCAL REACTION WITH URTICARIA


Changed on 9/14/2017

275562 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:Maine
Vaccinated:2007-03-30
Onset:2007-04-03
Submitted:2007-04-03
Entered:2007-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 1 2 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Local reaction, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: mIRENA iud
Current Illness: NO
Preexisting Conditions: CODEINE,SULFA,CEFZIL
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:LOCAL REACTION WITH URTICARIA


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=275562&WAYBACKHISTORY=ON


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