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This is VAERS ID 277112

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 277112
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-04-19
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Rash pruritic, Scab, Skin exfoliation, Injection site swelling, Immediate post-injection reaction

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

Write-up:Information has been received from a registered nurse at a dermatology office, concerning a 17 year old female patient who on 20-SEP-2006 was vaccinated with the first dose of Gardasil (Lot #653736/0868F), and on 05-JAN-2007, with the second dose of Garda"sil (Lot #655165/1425F) at an OB-GYN office. The nurse reported that on 05-JAN-2007, following the second vaccination, the patient, immediately got at bump on the right arm,/" by approximately 19-JAN-2007 (/"within 2 weeks of the vaccination/"), the patie


Changed on 12/8/2009

VAERS ID: 277112 Before After
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-04-19
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 UN / - UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Rash pruritic, Scab, Skin exfoliation, Swelling, Injection site swelling, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0704USA01525

Write-up:Information has been received from a registered nurse at a dermatology office, concerning a 17 year old female patient who on 20-SEP-2006 was vaccinated with the first dose of Gardasil (Lot #653736/0868F), and on 05-JAN-2007, with the second dose of Garda"sil Gardasil (Lot #655165/1425F) at an OB-GYN office. The nurse reported that on 05-JAN-2007, following the second vaccination, the patient, immediately got at bump on the right arm,/" arm," by approximately 19-JAN-2007 (/"within ("within 2 weeks of the vaccination/"), vaccination"), the patie patient''s "arm was cabby, scaly and bigger, than spread to whole body and face;" the patient developed a severe rash with itching. Prior to the first visit at the dermatology office, the nurse confirmed that the patient reported she had received treatment (date not specified) from a clinic, involving 2 courses of methylprednisone and cephalexin. On 27-JAN-2007, when the patient initially visited the dermatology office, the nurse indicated that the rash "looked like a sunburn that had peeled, was swollen, flaked and scabbed." Treatment on 27-JAN-2007 included an injection of DEPO-MEDROL), MOISTEREL cream (OTC). At the time of this report, it was unknown if the patient had recovered; the patient had a follow up visit scheduled at the dermatology office for 17-APR-2007. The reporter considered the severe rash with itching, peeling, swelling, flaking and scabbing to be disabling as the patient had missed school, and also an other medical event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277112&WAYBACKHISTORY=ON


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