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This is VAERS ID 277700

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 277700
Age:11.0
Gender:Female
Location:New York
Vaccinated:2007-03-29
Onset:0000-00-00
Submitted:2007-04-25
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 1 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Hypersensitivity, Rash papular, Allergy test, Allergy test positive

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prevacid, Qvar, Nasacort, Xopenex, Evocam topical
Current Illness:
Preexisting Conditions: Ehlers-Danlos Synd; Asthma, Allergy PCN, Keflex, Zithromax
Diagnostic Lab Data: pt had (+) tests to tree, dust, grass
CDC 'Split Type':

Write-up:shot #1 never seen by me. Saw dermatologist report enclosed /"papular urticaria vs. hypersensitivity. Shot #2 never seen by anyone. Mom (R.N.) reported hives forearms, trunk, buttocks


Changed on 12/8/2009

VAERS ID: 277700 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2007-03-29
Onset:0000-00-00
Submitted:2007-04-25
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 1 LA / UN

Administered by: Private      Purchased by: Unknown Private
Symptoms: Hypersensitivity, Rash papular, Urticaria, Allergy test, Allergy test positive

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prevacid, Qvar, Nasacort, Xopenex, Evocam topical
Current Illness:
Preexisting Conditions: Ehlers-Danlos Synd; Asthma, Allergy PCN, Keflex, Zithromax
Diagnostic Lab Data: pt had (+) tests to tree, dust, grass
CDC 'Split Type':

Write-up:shot #1 never seen by me. Saw dermatologist report enclosed /"papular "papular urticaria vs. hypersensitivity. Shot #2 never seen by anyone. Mom (R.N.) reported hives forearms, trunk, buttocks


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277700&WAYBACKHISTORY=ON


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