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This is VAERS ID 277195

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277195
VAERS Form:
Age:12.0
Gender:Female
Location:Alaska
Vaccinated:2007-04-17
Onset:2007-04-17
Submitted:2007-04-18
Entered:2007-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 1 LA / -

Administered by: Public      Purchased by: Unknown
Symptoms: Urticaria

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: Paroxetine, Nasonex
Current Illness: Allergic Rhinitis
Preexisting Conditions: Allergic Rhinitis, Anxiety NOS, ADHD
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed hives on her arm and then on trunk approximately 3 hours after administration of 2nd HPV vaccine.


Changed on 12/8/2009

277195 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Alaska
Vaccinated:2007-04-17
Onset:2007-04-17
Submitted:2007-04-18
Entered:2007-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 1 LA / -

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

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: Paroxetine, Nasonex
Current Illness: Allergic Rhinitis
Preexisting Conditions: Allergic Rhinitis, Anxiety NOS, ADHD
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed hives on her arm and then on trunk approximately 3 hours after administration of 2nd HPV vaccine.


Changed on 9/14/2017

277195 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Alaska
Vaccinated:2007-04-17
Onset:2007-04-17
Submitted:2007-04-18
Entered:2007-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 1 2 LA / -

Administered by: Public      Purchased by: Other
Symptoms: Urticaria

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: Paroxetine, Nasonex
Current Illness: Allergic Rhinitis
Preexisting Conditions: Allergic Rhinitis, Anxiety NOS, ADHD
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed hives on her arm and then on trunk approximately 3 hours after administration of 2nd HPV vaccine.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277195&WAYBACKHISTORY=ON


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