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This is VAERS ID 276896

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276896
VAERS Form:
Age:
Gender:Female
Location:Unknown
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 / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Eczema

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: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type':

Write-up:Information has been received from a nurse concerning her daughter (age not reported) who on an unspecified date was vaccinated IM with a 0.5 mL first dose of Gardasil. Subsequently the patient experienced eczema on both arms. The patient sought unspecifi"ed medical attention. The patient''''s physician believed that the eczema may have been due to the high aluminum content in the vaccine. Additional information has been requested.


Changed on 12/8/2009

276896 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
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 / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Eczema

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: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': (blank) WAES0703USA04828

Write-up:Information has been received from a nurse concerning her daughter (age not reported) who on an unspecified date was vaccinated IM with a 0.5 mL first dose of Gardasil. Subsequently the patient experienced eczema on both arms. The patient sought unspecifi"ed unspecified medical attention. The patient''''s patient''s physician believed that the eczema may have been due to the high aluminum content in the vaccine. Additional information has been requested.


Changed on 3/2/2010

276896 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
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 / IM

Administered by: Other      Purchased by: Other
Symptoms: Eczema

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: Unk Unknown
Current Illness:
Preexisting Conditions: Unk Unknown
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0703USA04828

Write-up:This is in follow-up to report(s) previously submitted on 4/13/2007. Information has been received from a nurse concerning her daughter (age not reported) who on an unspecified date was vaccinated IM with a 0.5 mL first dose of Gardasil. Subsequently the patient experienced eczema on both arms. The patient sought unspecified medical attention. The patient''s physician believed that the eczema may have been due to the high aluminum content in the vaccine. Additional No additional information has been requested. is expected.


Changed on 6/14/2014

276896 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
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 / IM

Administered by: Other      Purchased by: Other
Symptoms: Eczema

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: Unk
CDC 'Split Type': WAES0703USA04828

Write-up:This is in follow-up to report(s) previously submitted on 4/13/2007. Information has been received from a nurse concerning her daughter (age not reported) who on an unspecified date was vaccinated IM with a 0.5 mL first dose of Gardasil. Subsequently the patient experienced eczema on both arms. The patient sought unspecified medical attention. The patient''s physician believed that the eczema may have been due to the high aluminum content in the vaccine. No additional information is expected.


Changed on 5/14/2017

276896 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
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 / IM

Administered by: Other      Purchased by: Other
Symptoms: Eczema

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: Unk
CDC 'Split Type': WAES0703USA04828

Write-up:This is in follow-up to report(s) previously submitted on 4/13/2007. Information has been received from a nurse concerning her daughter (age not reported) who on an unspecified date was vaccinated IM with a 0.5 mL first dose of Gardasil. Subsequently the patient experienced eczema on both arms. The patient sought unspecified medical attention. The patient''s physician believed that the eczema may have been due to the high aluminum content in the vaccine. No additional information is expected.


Changed on 9/14/2017

276896 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
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 / IM

Administered by: Other      Purchased by: Other
Symptoms: Eczema

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: Unk
CDC 'Split Type': WAES0703USA04828

Write-up:This is in follow-up to report(s) previously submitted on 4/13/2007. Information has been received from a nurse concerning her daughter (age not reported) who on an unspecified date was vaccinated IM with a 0.5 mL first dose of Gardasil. Subsequently the patient experienced eczema on both arms. The patient sought unspecified medical attention. The patient''s physician believed that the eczema may have been due to the high aluminum content in the vaccine. No additional information is expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276896&WAYBACKHISTORY=ON


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