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This is VAERS ID 278395

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278395
VAERS Form:
Age:16.0
Gender:Female
Location:Indiana
Vaccinated:2007-03-21
Onset:2007-03-22
Submitted:2007-05-10
Entered:2007-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site pruritus, Injection site rash

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: Necon 50
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient''''s mother reported rash and itching at injection site approximately 6cm.


Changed on 12/8/2009

278395 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Indiana
Vaccinated:2007-03-21
Onset:2007-03-22
Submitted:2007-05-10
Entered:2007-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 RA / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Injection site pruritus, Injection site rash

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: Necon 50
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient''''s Patient''s mother reported rash and itching at injection site approximately 6cm.


Changed on 9/14/2017

278395 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Indiana
Vaccinated:2007-03-21
Onset:2007-03-22
Submitted:2007-05-10
Entered:2007-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 1 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Injection site pruritus, Injection site rash

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: Necon 50
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient''s mother reported rash and itching at injection site approximately 6cm.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278395&WAYBACKHISTORY=ON


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