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This is VAERS ID 277126

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277126
VAERS Form:
Age:
Gender:Female
Location:Washington
Vaccinated:2007-03-02
Onset:2007-03-02
Submitted:2007-04-22
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site urticaria, Reaction to previous exposure to any vaccine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: SERTRALINE
Current Illness: NONE
Preexisting Conditions: Anorexia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Immediately after 3rd HPV shot she developed an approx 4 inch red/warm wheal at the injection site. This same reaction occurred years earlier with the 2nd MMR.


Changed on 12/8/2009

277126 Before After
VAERS Form:
Age:
Gender:Female
Location:Washington
Vaccinated:2007-03-02
Onset:2007-03-02
Submitted:2007-04-22
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - LA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Injection site erythema, Injection site urticaria, Reaction to previous exposure to any vaccine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: SERTRALINE
Current Illness: NONE
Preexisting Conditions: Anorexia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Immediately after 3rd HPV shot she developed an approx 4 inch red/warm wheal at the injection site. This same reaction occurred years earlier with the 2nd MMR.


Changed on 4/7/2010

277126 Before After
VAERS Form:
Age:(blank) 17.0
Gender:Female
Location:Washington
Vaccinated:2007-03-02
Onset:2007-03-02
Submitted:2007-04-22
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Injection site erythema, Injection site urticaria, Reaction to previous exposure to any vaccine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: SERTRALINE Sertraline
Current Illness: NONE None
Preexisting Conditions: Anorexia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Immediately after 3rd HPV GARDASIL shot she developed an approx 4 inch red/warm wheal at the injection site. This same reaction occurred years earlier with the 2nd MMR. Follow-up - Pt age 17 years - Checked in Box, none of the above. Record updated.


Changed on 6/14/2014

277126 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Washington
Vaccinated:2007-03-02
Onset:2007-03-02
Submitted:2007-04-22
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Injection site erythema, Injection site urticaria, Reaction to previous exposure to any vaccine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertraline
Current Illness: None
Preexisting Conditions: Anorexia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Immediately after 3rd GARDASIL shot she developed an approx 4 inch red/warm wheal at the injection site. This same reaction occurred years earlier with the 2nd MMR. Follow-up - Pt age 17 years - Checked in Box, none of the above. Record updated.


Changed on 3/14/2015

277126 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Washington
Vaccinated:2007-03-02
Onset:2007-03-02
Submitted:2007-04-22
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Injection site erythema, Injection site urticaria, Reaction to previous exposure to any vaccine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertraline
Current Illness: None
Preexisting Conditions: Anorexia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Immediately after 3rd GARDASIL shot she developed an approx 4 inch red/warm wheal at the injection site. This same reaction occurred years earlier with the 2nd MMR. Follow-up - Pt age 17 years - Checked in Box, none of the above. Record updated.


Changed on 9/14/2017

277126 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Washington
Vaccinated:2007-03-02
Onset:2007-03-02
Submitted:2007-04-22
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - UNK LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Injection site erythema, Injection site urticaria, Reaction to previous exposure to any vaccine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertraline
Current Illness: None
Preexisting Conditions: Anorexia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Immediately after 3rd GARDASIL shot she developed an approx 4 inch red/warm wheal at the injection site. This same reaction occurred years earlier with the 2nd MMR. Follow-up - Pt age 17 years - Checked in Box, none of the above. Record updated.


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