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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 276219 |
VAERS Form: | |
Age: | |
Gender: | Female |
Location: | Unknown |
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 | - / IN |
Administered by: Other Purchased by: Unknown
Symptoms: Rash generalised
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: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Information has been received from a physician concerning a female who was vaccinated with HPV rL1 6 11 16 18 VLP vaccine (yeast) first dose. Subsequently, the patient developed a rash over their entire body. Unspecified medical attention was sought. The"patient''''s outcome was not reported. Additional information has been requested.
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 | - / IN |
Administered by: Other Purchased by: Unknown Other
Symptoms: Rash generalised
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: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0703USA01131
Write-up: Information has been received from a physician concerning a female who was vaccinated with HPV rL1 6 11 16 18 VLP vaccine (yeast) Gardasil first dose. Subsequently, the patient developed a rash over their entire body. Unspecified medical attention was sought. The"patient''''s The patient''s outcome was not reported. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2007-04-06 2007-07-06 |
Entered: | 2007-04-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 0 | - / IN |
Administered by: Other Purchased by: Other
Symptoms: Rash generalised
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01131
Write-up: Information has been received from a physician concerning a female who was vaccinated with Gardasil first dose. Subsequently, the patient developed a rash over their entire body. Unspecified medical attention was sought. The patient''s outcome was not reported. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2007-07-06 |
Entered: | 2007-04-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 0 | - / IN |
Administered by: Other Purchased by: Other
Symptoms: Rash generalised
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01131
Write-up: Information has been received from a physician concerning a female who was vaccinated with Gardasil first dose. Subsequently, the patient developed a rash over their entire body. Unspecified medical attention was sought. The patient''s outcome was not reported. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2007-07-06 |
Entered: | 2007-04-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 0 | - / IN |
Administered by: Other Purchased by: Other
Symptoms: Rash generalised
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01131
Write-up: Information has been received from a physician concerning a female who was vaccinated with Gardasil first dose. Subsequently, the patient developed a rash over their entire body. Unspecified medical attention was sought. The patient''s outcome was not reported. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2007-07-06 |
Entered: | 2007-04-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 0 1 | - NS / IN |
Administered by: Other Purchased by: Other
Symptoms: Rash generalised
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01131
Write-up: Information has been received from a physician concerning a female who was vaccinated with Gardasil first dose. Subsequently, the patient developed a rash over their entire body. Unspecified medical attention was sought. The patient''s outcome was not reported. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2007-07-06 |
Entered: | 2007-04-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 1 | NS / IN |
Administered by: Other Purchased by: Other
Symptoms: Rash generalised
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01131
Write-up: Information has been received from a physician concerning a female who was vaccinated with Gardasil first dose. Subsequently, the patient developed a rash over their entire body. Unspecified medical attention was sought. The patient''s outcome was not reported. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2007-07-06 |
Entered: | 2007-04-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 1 | NS / IN |
Administered by: Other Purchased by: Other
Symptoms: Rash generalised
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01131
Write-up: Information has been received from a physician concerning a female who was vaccinated with Gardasil first dose. Subsequently, the patient developed a rash over their entire body. Unspecified medical attention was sought. The patient''s outcome was not reported. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2007-07-06 |
Entered: | 2007-04-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 1 | NS / IN |
Administered by: Other Purchased by: Other
Symptoms: Rash generalised
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01131
Write-up: Information has been received from a physician concerning a female who was vaccinated with Gardasil first dose. Subsequently, the patient developed a rash over their entire body. Unspecified medical attention was sought. The patient''s outcome was not reported. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2007-07-06 |
Entered: | 2007-04-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 1 | NS / IN |
Administered by: Other Purchased by: Other
Symptoms: Rash generalised
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01131
Write-up: Information has been received from a physician concerning a female who was vaccinated with Gardasil first dose. Subsequently, the patient developed a rash over their entire body. Unspecified medical attention was sought. The patient''s outcome was not reported. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2007-07-06 |
Entered: | 2007-04-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 1 | NS / IN |
Administered by: Other Purchased by: Other
Symptoms: Rash generalised
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01131
Write-up: Information has been received from a physician concerning a female who was vaccinated with Gardasil first dose. Subsequently, the patient developed a rash over their entire body. Unspecified medical attention was sought. The patient''s outcome was not reported. Additional information has been requested.
Link To This Search Result:
https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276219&WAYBACKHISTORY=ON
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