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This is VAERS ID 276802

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276802
Age:17.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-03-15
Onset:2007-03-15
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: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: citalopram; trazodone hydrochloride
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 17 year old female patient who on 15-MAR-2007 was vaccinated with the first dose of Gardasil. Concomitant therapy included traxodone HC1 and citalopram. On 15-MAR-2007 the patient experienced ge"neralized hives. Treatment included diphenhydramine HC1 (BENADRYL), and at the time of the report the patient was reported to be recovering. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 276802 Before After
Age:17.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-03-15
Onset:2007-03-15
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: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: citalopram; trazodone hydrochloride
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA03424

Write-up:Information has been received from a physician concerning a 17 year old female patient who on 15-MAR-2007 was vaccinated with the first dose of Gardasil. Concomitant therapy included traxodone HC1 and citalopram. On 15-MAR-2007 the patient experienced ge"neralized generalized hives. Treatment included diphenhydramine HC1 (BENADRYL), and at the time of the report the patient was reported to be recovering. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276802&WAYBACKHISTORY=ON


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