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This is VAERS ID 276139

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276139
VAERS Form:
Age:
Gender:Female
Location:Florida
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. - / 1 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Herpes simplex, Herpes virus infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female patient who was vaccinated on an unspecified date with her second dose of Gardasil. Approximately a week later, the patient developed herpetic appearing lesions located on the perivulva an"d/or gynecological area. The patient was diagnosed with type 1 herpes simplex. The patient''''s outcome was known. No further information is available.


Changed on 12/8/2009

276139 Before After
VAERS Form:
Age:
Gender:Female
Location:Florida
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. - / 1 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Herpes simplex, Herpes virus infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA00664

Write-up:Information has been received from a physician concerning a female patient who was vaccinated on an unspecified date with her second dose of Gardasil. Approximately a week later, the patient developed herpetic appearing lesions located on the perivulva an"d/or and/or gynecological area. The patient was diagnosed with type 1 herpes simplex. The patient''''s patient''s outcome was known. No further information is available.


Changed on 9/14/2017

276139 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Florida
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. - / 1 2 UN / -

Administered by: Other      Purchased by: Other
Symptoms: Herpes simplex, Herpes virus infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA00664

Write-up:Information has been received from a physician concerning a female patient who was vaccinated on an unspecified date with her second dose of Gardasil. Approximately a week later, the patient developed herpetic appearing lesions located on the perivulva and/or gynecological area. The patient was diagnosed with type 1 herpes simplex. The patient''s outcome was known. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276139&WAYBACKHISTORY=ON


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