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This is VAERS ID 277677

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277677
VAERS Form:
Age:21.0
Gender:Female
Location:Missouri
Vaccinated:2007-04-30
Onset:2007-05-01
Submitted:0000-00-00
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Erythema, Swelling face

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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:5/1/07 3:30 pm PC from client. States she woke up at noon today with a swollen, red face and /"red spots all over both legs. Had received HPV immun on 4/30/07 in the afternoon went to express care at 1:00 pm and was seen by Dr states she was given Benadry"l pills and steroid cream.


Changed on 12/8/2009

277677 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Missouri
Vaccinated:2007-04-30
Onset:2007-05-01
Submitted:0000-00-00
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Erythema, Swelling face

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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:5/1/07 3:30 pm PC from client. States she woke up at noon today with a swollen, red face and /"red "red spots all over both legs. Had received HPV immun on 4/30/07 in the afternoon went to express care at 1:00 pm and was seen by Dr states she was given Benadry"l Benadryl pills and steroid cream.


Changed on 9/14/2017

277677 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:Missouri
Vaccinated:2007-04-30
Onset:2007-05-01
Submitted:0000-00-00
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Erythema, Swelling face

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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:5/1/07 3:30 pm PC from client. States she woke up at noon today with a swollen, red face and "red spots all over both legs. Had received HPV immun on 4/30/07 in the afternoon went to express care at 1:00 pm and was seen by Dr states she was given Benadryl pills and steroid cream.


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