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This is VAERS ID 278339

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278339
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-19
Onset:2007-04-19
Submitted:2007-04-19
Entered:2007-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Rash pruritic

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:
Current Illness: None
Preexisting Conditions: allergies none, birth defects none, Med - dysfunctional uterine bleeding
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Itchy rash all over lower body, reported by patient only. Neither parent nor physician was shown the rash.


Changed on 12/8/2009

278339 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-19
Onset:2007-04-19
Submitted:2007-04-19
Entered:2007-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - - / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Rash pruritic

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:
Current Illness: None
Preexisting Conditions: allergies none, birth defects none, Med - dysfunctional uterine bleeding
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Itchy rash all over lower body, reported by patient only. Neither parent nor physician was shown the rash.


Changed on 9/14/2017

278339 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-19
Onset:2007-04-19
Submitted:2007-04-19
Entered:2007-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Rash pruritic

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:
Current Illness: None
Preexisting Conditions: allergies none, birth defects none, Med - dysfunctional uterine bleeding
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Itchy rash all over lower body, reported by patient only. Neither parent nor physician was shown the rash.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278339&WAYBACKHISTORY=ON


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