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This is VAERS ID 276677

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276677
VAERS Form:
Age:
Gender:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Rash maculo-papular, Rash pruritic

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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':

Write-up:Information has been received a physician concerning a female who was vaccinated with her first dose of Gardasil. Subsequently, /"2 days later/" the patient experienced pruritic and maculopapular rash. Unspecified medical attention was sought. The patient"recovered from pruritic and maculopapular rash. No product quality complaint was involved. Additional information has been requested.


Changed on 12/8/2009

276677 Before After
VAERS Form:
Age:
Gender:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Rash maculo-papular, Rash pruritic

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': (blank) WAES0703USA02821

Write-up:Information has been received a physician concerning a female who was vaccinated with her first dose of Gardasil. Subsequently, /"2 "2 days later/" later" the patient experienced pruritic and maculopapular rash. Unspecified medical attention was sought. The patient"recovered patient recovered from pruritic and maculopapular rash. No product quality complaint was involved. Additional information has been requested.


Changed on 9/14/2017

276677 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Rash maculo-papular, Rash pruritic

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': WAES0703USA02821

Write-up:Information has been received a physician concerning a female who was vaccinated with her first dose of Gardasil. Subsequently, "2 days later" the patient experienced pruritic and maculopapular rash. Unspecified medical attention was sought. The patient recovered from pruritic and maculopapular rash. No product quality complaint was involved. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276677&WAYBACKHISTORY=ON


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