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This is VAERS ID 276125

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276125
Age:17.0
Gender:Female
Location:Illinois
Vaccinated:2007-02-22
Onset:2007-02-26
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Body temperature increased, Erythema, Pyrexia, Rash erythematous, Rash pruritic

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: body temp 02/26/07 101 F
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 17 year old female who on 22-FEB-2007 was vaccinated with a first dose of Gardasil. On approximately 26-FEB-2007, the patient developed fever of 101F that lasted for several days. On approximatel"y 28-FEB-2007, the patient developed a red, itchy rash on the upper body from the waist up. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 276125 Before After
Age:17.0
Gender:Female
Location:Illinois
Vaccinated:2007-02-22
Onset:2007-02-26
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Body temperature increased, Erythema, Pyrexia, Rash erythematous, Rash pruritic

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: body temp 02/26/07 101 F
CDC 'Split Type': (blank) WAES0703USA00432

Write-up:Information has been received from a physician concerning a 17 year old female who on 22-FEB-2007 was vaccinated with a first dose of Gardasil. On approximately 26-FEB-2007, the patient developed fever of 101F that lasted for several days. On approximatel"y approximately 28-FEB-2007, the patient developed a red, itchy rash on the upper body from the waist up. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 276125 Before After
Age:17.0 18.0
Gender:Female
Location:Illinois
Vaccinated:2007-02-22
Onset:2007-02-26 2007-02-24
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0012U / 0 - LA / - UN

Administered by: Other Private      Purchased by: Other
Symptoms: Body temperature increased, Erythema, Pyrexia, Rash erythematous, Rash pruritic

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk Unknown
Current Illness:
Preexisting Conditions: Unk None
Diagnostic Lab Data: body temp 02/26/07 101 F F; erythrocyte, 03/11/07, 32; platelet count, 03/11/07, 119; complete blood cell, 03/11/07, 14.4, 44.5, 4.3
CDC 'Split Type': WAES0703USA00432

Write-up:Information has been received from a physician concerning a 17 18 year old female with no relevant medical history of illness at the time of vaccination who on 22-FEB-2007 was vaccinated with a first dose of Gardasil. Gardasil in the left deltoid (lot # 655503/0012U). On approximately 26-FEB-2007, 24-FEB-2007, the patient complained of myalgias. On 25-Feb 2007, the patient developed diarrhea. On 26-Feb-2007, the patient developed fever of 101F that lasted for several days. On approximately 28-FEB-2007, the patient developed a red, itchy maculopapular rash on the upper body from the waist up. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. The patient was seen by the physician on 01-Mar-2007. The patient''s fever resolved on 02-Mar-2007. The patient''s rash resolved on 02-Mar-2007. The pateint''s rash resolved on 09-Mar-2007. The patient was considered recovered on 10-Mar-2007. No additional information is expected.


Changed on 4/7/2010

VAERS ID: 276125 Before After
Age:18.0
Gender:Female
Location:Illinois
Vaccinated:2007-02-22
Onset:2007-02-24
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 LA / UN

Administered by: Private      Purchased by: Other
Symptoms: Body temperature increased, Diarrhoea, Erythema, Full blood count abnormal, Myalgia, Platelet count normal, Pyrexia, Rash erythematous, Rash maculo-papular, Rash pruritic, Red blood cell count increased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: body temp 02/26/07 101 F; erythrocyte, 03/11/07, 32; platelet count, 03/11/07, 119; complete blood cell, 03/11/07, 14.4, 44.5, 4.3
CDC 'Split Type': WAES0703USA00432

Write-up:Information has been received from a physician concerning a 18 year old female with no relevant medical history of illness at the time of vaccination who on 22-FEB-2007 was vaccinated with a first dose of Gardasil in the left deltoid (lot # 655503/0012U). On 24-FEB-2007, the patient complained of myalgias. On 25-Feb 2007, the patient developed diarrhea. On 26-Feb-2007, the patient developed fever of 101F that lasted for several days. On 28-FEB-2007, the patient developed a red, itchy maculopapular rash on the upper body from the waist up. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. The patient was seen by the physician on 01-Mar-2007. The patient''s fever resolved on 02-Mar-2007. The patient''s rash resolved on 02-Mar-2007. The pateint''s rash resolved on 09-Mar-2007. The patient was considered recovered on 10-Mar-2007. No additional information is expected.


Changed on 6/14/2014

VAERS ID: 276125 Before After
Age:18.0
Gender:Female
Location:Illinois
Vaccinated:2007-02-22
Onset:2007-02-24
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 LA / UN

Administered by: Private      Purchased by: Other
Symptoms: Body temperature increased, Diarrhoea, Erythema, Full blood count abnormal, Myalgia, Platelet count normal, Pyrexia, Rash erythematous, Rash maculo-papular, Rash pruritic, Red blood cell count increased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: body temp 02/26/07 101 F; erythrocyte, 03/11/07, 32; platelet count, 03/11/07, 119; complete blood cell, 03/11/07, 14.4, 44.5, 4.3
CDC 'Split Type': WAES0703USA00432

Write-up:Information has been received from a physician concerning a 18 year old female with no relevant medical history of illness at the time of vaccination who on 22-FEB-2007 was vaccinated with a first dose of Gardasil in the left deltoid (lot # 655503/0012U). On 24-FEB-2007, the patient complained of myalgias. On 25-Feb 2007, the patient developed diarrhea. On 26-Feb-2007, the patient developed fever of 101F that lasted for several days. On 28-FEB-2007, the patient developed a red, itchy maculopapular rash on the upper body from the waist up. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. The patient was seen by the physician on 01-Mar-2007. The patient''s fever resolved on 02-Mar-2007. The patient''s rash resolved on 02-Mar-2007. The pateint''s rash resolved on 09-Mar-2007. The patient was considered recovered on 10-Mar-2007. No additional information is expected.


Changed on 5/14/2017

VAERS ID: 276125 Before After
Age:18.0
Gender:Female
Location:Illinois
Vaccinated:2007-02-22
Onset:2007-02-24
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 LA / UN

Administered by: Private      Purchased by: Other
Symptoms: Body temperature increased, Diarrhoea, Erythema, Full blood count abnormal, Myalgia, Platelet count normal, Pyrexia, Rash erythematous, Rash maculo-papular, Rash pruritic, Red blood cell count increased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: body temp 02/26/07 101 F; erythrocyte, 03/11/07, 32; platelet count, 03/11/07, 119; complete blood cell, 03/11/07, 14.4, 44.5, 4.3
CDC 'Split Type': WAES0703USA00432

Write-up:Information has been received from a physician concerning a 18 year old female with no relevant medical history of illness at the time of vaccination who on 22-FEB-2007 was vaccinated with a first dose of Gardasil in the left deltoid (lot # 655503/0012U). On 24-FEB-2007, the patient complained of myalgias. On 25-Feb 2007, the patient developed diarrhea. On 26-Feb-2007, the patient developed fever of 101F that lasted for several days. On 28-FEB-2007, the patient developed a red, itchy maculopapular rash on the upper body from the waist up. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. The patient was seen by the physician on 01-Mar-2007. The patient''s fever resolved on 02-Mar-2007. The patient''s rash resolved on 02-Mar-2007. The pateint''s rash resolved on 09-Mar-2007. The patient was considered recovered on 10-Mar-2007. No additional information is expected.


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