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This is VAERS ID 278589

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 278589
VAERS Form:
Age:25.0
Gender:Female
Location:Florida
Vaccinated:2007-05-09
Onset:2007-05-11
Submitted:2007-05-15
Entered:2007-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / - RL / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Mouth ulceration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness: No
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed 2 Ulcers in mouth. one on top of the tongue. Second on right side of tongue


Changed on 12/8/2009

VAERS ID: 278589 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:Florida
Vaccinated:2007-05-09
Onset:2007-05-11
Submitted:2007-05-15
Entered:2007-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / - RL / UN

Administered by: Private      Purchased by: Unknown Private
Symptoms: Mouth ulceration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness: No
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed 2 Ulcers in mouth. one on top of the tongue. Second on right side of tongue


Changed on 9/14/2017

VAERS ID: 278589 Before After
VAERS Form:(blank) 1
Age:25.0
Gender:Female
Location:Florida
Vaccinated:2007-05-09
Onset:2007-05-11
Submitted:2007-05-15
Entered:2007-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / - UNK RL / UN

Administered by: Private      Purchased by: Private
Symptoms: Mouth ulceration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness: No
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed 2 Ulcers in mouth. one on top of the tongue. Second on right side of tongue


Changed on 2/14/2018

VAERS ID: 278589 Before After
VAERS Form:1
Age:25.0
Gender:Female
Location:Florida
Vaccinated:2007-05-09
Onset:2007-05-11
Submitted:2007-05-15
Entered:2007-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / UNK RL / UN

Administered by: Private      Purchased by: Private
Symptoms: Mouth ulceration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness: No
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Developed 2 Ulcers in mouth. one on top of the tongue. Second on right side of tongue


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278589&WAYBACKHISTORY=ON


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