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This is VAERS ID 276834

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276834
VAERS Form:
Age:
Gender:Female
Location:Alabama
Vaccinated:2007-03-19
Onset:2007-03-19
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

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: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female patient who on 19-MAR-2007 was vaccinated with a dose of Gardasil. After receiving the injection the patient developed a rash that extended from head to toe. Unspecified medical attention"was sought. The patient''''s outcome was unknown. Additional information has been requested.


Changed on 12/8/2009

276834 Before After
VAERS Form:
Age:
Gender:Female
Location:Alabama
Vaccinated:2007-03-19
Onset:2007-03-19
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

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: Unknown
CDC 'Split Type': (blank) WAES0703USA03891

Write-up:Information has been received from a physician concerning a female patient who on 19-MAR-2007 was vaccinated with a dose of Gardasil. After receiving the injection the patient developed a rash that extended from head to toe. Unspecified medical attention"was attention was sought. The patient''''s patient''s outcome was unknown. Additional information has been requested.


Changed on 9/14/2017

276834 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Alabama
Vaccinated:2007-03-19
Onset:2007-03-19
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

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': WAES0703USA03891

Write-up:Information has been received from a physician concerning a female patient who on 19-MAR-2007 was vaccinated with a dose of Gardasil. After receiving the injection the patient developed a rash that extended from head to toe. Unspecified medical attention was sought. The patient''s outcome was unknown. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276834&WAYBACKHISTORY=ON


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