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This is VAERS ID 276847

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276847
Age:23.0
Gender:Female
Location:Nebraska
Vaccinated:2007-01-03
Onset:2007-01-03
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Cervical intraepithelial neoplasia
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 23 year old female with a history of cervical intraepithelial neoplasia who on 03-JAN-2007 was vaccinated with Gardasil (yeast (lot#655165/1425F)). There was no concomitant medication. On 03-JAN-"2007 the patient experienced hives all over her body after vaccination with Gardasil (yeast). The hives appeared all over her body on the day of vaccination. BENADRYL was prescribed to the patient and she fully recovered 48 hours after the vaccination. Ad


Changed on 12/8/2009

VAERS ID: 276847 Before After
Age:23.0
Gender:Female
Location:Nebraska
Vaccinated:2007-01-03
Onset:2007-01-03
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Cervical intraepithelial neoplasia
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA03986

Write-up:Information has been received from a physician concerning a 23 year old female with a history of cervical intraepithelial neoplasia who on 03-JAN-2007 was vaccinated with Gardasil (yeast (lot#655165/1425F)). There was no concomitant medication. On 03-JAN-"2007 03-JAN-2007 the patient experienced hives all over her body after vaccination with Gardasil (yeast). The hives appeared all over her body on the day of vaccination. BENADRYL was prescribed to the patient and she fully recovered 48 hours after the vaccination. Ad Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 276847 Before After
Age:23.0
Gender:Female
Location:Nebraska
Vaccinated:2007-01-03
Onset:2007-01-03
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / - 0 - LA / IM

Administered by: Other Private      Purchased by: Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Cervical intraepithelial neoplasia
Diagnostic Lab Data: Unknown None
CDC 'Split Type': WAES0703USA03986

Write-up:Information has been received from a physician concerning a 23 year old female with a history of cervical intraepithelial neoplasia who on 03-JAN-2007 was vaccinated intramuscularly into the left arm with Gardasil (yeast a first dose of GARDASIL vaccine (lot#655165/1425F)). There was no concomitant medication. On 03-JAN-2007 the patient experienced hives all over her body after vaccination with Gardasil (yeast). GARDASIL vaccine. The hives appeared all over her body on the day of vaccination. BENADRYL was prescribed to the patient and she fully recovered 48 hours after the vaccination. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/13/2007. No laboratory diagnositic studies were performed. The patient fully recovered 48 hours after the vaccination (also reported as 04-JAN-2007). No further information is available.


Changed on 6/14/2014

VAERS ID: 276847 Before After
Age:23.0
Gender:Female
Location:Nebraska
Vaccinated:2007-01-03
Onset:2007-01-03
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Cervical intraepithelial neoplasia
Diagnostic Lab Data: Unknown None
CDC 'Split Type': WAES0703USA03986

Write-up:Information has been received from a physician concerning a 23 year old female with a history of cervical intraepithelial neoplasia who on 03-JAN-2007 was vaccinated intramuscularly into the left arm with a first dose of GARDASIL vaccine (lot#655165/1425F)). There was no concomitant medication. On 03-JAN-2007 the patient experienced hives all over her body after vaccination with GARDASIL vaccine. The hives appeared all over her body on the day of vaccination. BENADRYL was prescribed to the patient and she fully recovered 48 hours after the vaccination. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/13/2007. No laboratory diagnositic studies were performed. The patient fully recovered 48 hours after the vaccination (also reported as 04-JAN-2007). No further information is available.


Changed on 5/14/2017

VAERS ID: 276847 Before After
Age:23.0
Gender:Female
Location:Nebraska
Vaccinated:2007-01-03
Onset:2007-01-03
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Cervical intraepithelial neoplasia
Diagnostic Lab Data: Unknown None
CDC 'Split Type': WAES0703USA03986

Write-up:Information has been received from a physician concerning a 23 year old female with a history of cervical intraepithelial neoplasia who on 03-JAN-2007 was vaccinated intramuscularly into the left arm with a first dose of GARDASIL vaccine (lot#655165/1425F)). There was no concomitant medication. On 03-JAN-2007 the patient experienced hives all over her body after vaccination with GARDASIL vaccine. The hives appeared all over her body on the day of vaccination. BENADRYL was prescribed to the patient and she fully recovered 48 hours after the vaccination. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/13/2007. No laboratory diagnositic studies were performed. The patient fully recovered 48 hours after the vaccination (also reported as 04-JAN-2007). No further information is available.


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