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This is VAERS ID 278514

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278514
VAERS Form:
Age:23.0
Gender:Female
Location:Arizona
Vaccinated:2007-05-07
Onset:0000-00-00
Submitted:2007-05-08
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / - RA / IM

Administered by: Military      Purchased by: Unknown
Symptoms: Injection site pruritus, Injection site pustule

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Small pimple-like sore at the injection site. Itching at the injection site.


Changed on 12/8/2009

278514 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Arizona
Vaccinated:2007-05-07
Onset:0000-00-00
Submitted:2007-05-08
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / - RA / IM

Administered by: Military      Purchased by: Unknown Military
Symptoms: Injection site pruritus, Injection site pustule

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Small pimple-like sore at the injection site. Itching at the injection site.


Changed on 9/14/2017

278514 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:Arizona
Vaccinated:2007-05-07
Onset:0000-00-00
Submitted:2007-05-08
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / - UNK RA / IM

Administered by: Military      Purchased by: Military
Symptoms: Injection site pruritus, Injection site pustule

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Small pimple-like sore at the injection site. Itching at the injection site.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278514&WAYBACKHISTORY=ON


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