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This is VAERS ID 276124

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276124
VAERS Form:
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-23
Onset:2007-02-23
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Oedema peripheral, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a physician assistant concerning a 15 year old /"healthy individual/" female who on approximately 23-FEB-2007, was vaccinated with Gardasil first dose. On approximately 23-FEB-2007 (also reported as about a week after Ga"rdasil was administered, the patient experienced swelling and hives in her extremities area. The reporting physician assistant does not treat this patient and did not want to be contacted. The treating physician works in the same office as the reporter bu


Changed on 12/8/2009

276124 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-23
Onset:2007-02-23
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Oedema peripheral, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0703USA00421

Write-up:Information has been received from a physician assistant concerning a 15 year old /"healthy individual/" "healthy individual" female who on approximately 23-FEB-2007, was vaccinated with Gardasil first dose. On approximately 23-FEB-2007 (also reported as about a week after Ga"rdasil Gardasil was administered, the patient experienced swelling and hives in her extremities area. The reporting physician assistant does not treat this patient and did not want to be contacted. The treating physician works in the same office as the reporter bu but also did not want to contacted as the physician did not feel the events were related. No lab or diagnostic tests were performed. Unspecified medical attention was sought. As of 02-MAR-2007, the patient''s swelling and hives in her extremities persisted. No further information is available.


Changed on 9/14/2017

276124 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-23
Onset:2007-02-23
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Oedema peripheral, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA00421

Write-up:Information has been received from a physician assistant concerning a 15 year old "healthy individual" female who on approximately 23-FEB-2007, was vaccinated with Gardasil first dose. On approximately 23-FEB-2007 (also reported as about a week after Gardasil was administered, the patient experienced swelling and hives in her extremities area. The reporting physician assistant does not treat this patient and did not want to be contacted. The treating physician works in the same office as the reporter but also did not want to contacted as the physician did not feel the events were related. No lab or diagnostic tests were performed. Unspecified medical attention was sought. As of 02-MAR-2007, the patient''s swelling and hives in her extremities persisted. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276124&WAYBACKHISTORY=ON


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