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This is VAERS ID 276013

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276013
Age:17.0
Gender:Female
Location:Oregon
Vaccinated:2007-03-13
Onset:2007-03-13
Submitted:2007-04-04
Entered:2007-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Effexor XR 150 mg; Lexapro 10 mg; Ortho Evra Patch
Current Illness: None
Preexisting Conditions: Allergy Augmentin and Penicillin
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Moderate Fever, widespread rash/hives


Changed on 12/8/2009

VAERS ID: 276013 Before After
Age:17.0
Gender:Female
Location:Oregon
Vaccinated:2007-03-13
Onset:2007-03-13
Submitted:2007-04-04
Entered:2007-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 RA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Pyrexia, Rash, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Effexor XR 150 mg; Lexapro 10 mg; Ortho Evra Patch
Current Illness: None
Preexisting Conditions: Allergy Augmentin and Penicillin
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Moderate Fever, widespread rash/hives


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276013&WAYBACKHISTORY=ON


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