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This is VAERS ID 276262

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276262
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Angioedema, Drug hypersensitivity, Dyspnoea, Throat tightness

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No previous history of urticaria
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed severe urticaria and angioedema starting about 24-48 hours after getting HPV vaccine (First dose). Patient had two E.R. visits. Needs high dose steroids to control angioedema of throat. Problem lasted ten days.


Changed on 12/8/2009

276262 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Angioedema, Drug hypersensitivity, Dyspnoea, Rash, Throat tightness, Urticaria

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No previous history of urticaria
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed severe urticaria and angioedema starting about 24-48 hours after getting HPV vaccine (First dose). Patient had two E.R. visits. Needs high dose steroids to control angioedema of throat. Problem lasted ten days. 5/1/07 Received med records from ER visit which reveals patient experienced rash on hip area which spread to extremities. Exam revealed urticarial rash on extemities & trunk. Initially had mild SOB & tightening of throat. Pt had recent DepoProvera injection as well as Gardisil. Tx w/antihistamine & prednisone & d/c to home. ALLERGIES: Augmentin & sulfa FINAL DX: Urticaria.


Changed on 7/31/2010

276262 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Angioedema, Dyspnoea, Rash, Throat tightness, Urticaria

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No previous history of urticaria
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed severe urticaria and angioedema starting about 24-48 hours after getting HPV vaccine (First dose). Patient had two E.R. visits. Needs high dose steroids to control angioedema of throat. Problem lasted ten days. 5/1/07 Received med records from ER visit which reveals patient experienced rash on hip area which spread to extremities. Exam revealed urticarial rash on extemities & trunk. Initially had mild SOB & tightening of throat. Pt had recent DepoProvera injection as well as Gardisil. Tx w/antihistamine & prednisone & d/c to home. ALLERGIES: Augmentin & sulfa FINAL DX: Urticaria.


Changed on 4/13/2011

276262 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Angioedema, Dyspnoea, Rash, Throat tightness, Urticaria

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No previous history of urticaria
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed severe urticaria and angioedema starting about 24-48 hours after getting HPV vaccine (First dose). Patient had two E.R. visits. Needs high dose steroids to control angioedema of throat. Problem lasted ten days. 5/1/07 Received med records from ER visit which reveals patient experienced rash on hip area which spread to extremities. Exam revealed urticarial rash on extemities & trunk. Initially had mild SOB & tightening of throat. Pt had recent DepoProvera injection as well as Gardisil. Tx w/antihistamine & prednisone & d/c to home. ALLERGIES: Augmentin & sulfa FINAL DX: Urticaria.


Changed on 5/13/2011

276262 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Angioedema, Dyspnoea, Rash, Throat tightness, Urticaria

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No previous history of urticaria
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed severe urticaria and angioedema starting about 24-48 hours after getting HPV vaccine (First dose). Patient had two E.R. visits. Needs high dose steroids to control angioedema of throat. Problem lasted ten days. 5/1/07 Received med records from ER visit which reveals patient experienced rash on hip area which spread to extremities. Exam revealed urticarial rash on extemities & trunk. Initially had mild SOB & tightening of throat. Pt had recent DepoProvera injection as well as Gardisil. Tx w/antihistamine & prednisone & d/c to home. ALLERGIES: Augmentin & sulfa FINAL DX: Urticaria.


Changed on 6/11/2011

276262 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Angioedema, Dyspnoea, Rash, Throat tightness, Urticaria

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No previous history of urticaria
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed severe urticaria and angioedema starting about 24-48 hours after getting HPV vaccine (First dose). Patient had two E.R. visits. Needs high dose steroids to control angioedema of throat. Problem lasted ten days. 5/1/07 Received med records from ER visit which reveals patient experienced rash on hip area which spread to extremities. Exam revealed urticarial rash on extemities & trunk. Initially had mild SOB & tightening of throat. Pt had recent DepoProvera injection as well as Gardisil. Tx w/antihistamine & prednisone & d/c to home. ALLERGIES: Augmentin & sulfa FINAL DX: Urticaria.


Changed on 5/14/2017

276262 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Angioedema, Dyspnoea, Rash, Throat tightness, Urticaria

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No previous history of urticaria
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed severe urticaria and angioedema starting about 24-48 hours after getting HPV vaccine (First dose). Patient had two E.R. visits. Needs high dose steroids to control angioedema of throat. Problem lasted ten days. 5/1/07 Received med records from ER visit which reveals patient experienced rash on hip area which spread to extremities. Exam revealed urticarial rash on extemities & trunk. Initially had mild SOB & tightening of throat. Pt had recent DepoProvera injection as well as Gardisil. Tx w/antihistamine & prednisone & d/c to home. ALLERGIES: Augmentin & sulfa FINAL DX: Urticaria.


Changed on 9/14/2017

276262 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Angioedema, Dyspnoea, Rash, Urticaria

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No previous history of urticaria
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed severe urticaria and angioedema starting about 24-48 hours after getting HPV vaccine (First dose). Patient had two E.R. visits. Needs high dose steroids to control angioedema of throat. Problem lasted ten days. 5/1/07 Received med records from ER visit which reveals patient experienced rash on hip area which spread to extremities. Exam revealed urticarial rash on extemities & trunk. Initially had mild SOB & tightening of throat. Pt had recent DepoProvera injection as well as Gardisil. Tx w/antihistamine & prednisone & d/c to home. ALLERGIES: Augmentin & sulfa FINAL DX: Urticaria.


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