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This is VAERS ID 276112

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276112
Age:
Gender:Female
Location:Kansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician via a company representative concerning a female patient who was vaccinated with the first dose. 0.5 ml, IM, of HPV rL1 6 11 16 18 VLP vaccine (yeast). Subsequently the patient /"developed hives all over her"body./" At the time of this report, the patient had recovered. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 276112 Before After
Age:
Gender:Female
Location:Kansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA00199

Write-up:Information has been received from a physician via a company representative concerning a female patient who was vaccinated with the first dose. 0.5 ml, IM, of HPV rL1 6 11 16 18 VLP vaccine (yeast). Subsequently the patient /"developed "developed hives all over her"body./" her body." At the time of this report, the patient had recovered. The patient sought unspecified medical attention. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276112&WAYBACKHISTORY=ON


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