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This is VAERS ID 278663

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278663
VAERS Form:
Age:20.0
Gender:Female
Location:California
Vaccinated:2006-11-03
Onset:2006-11-06
Submitted:2007-05-15
Entered:2007-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Urticaria

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Broke out with hives 3 days after vaccination which lasted for approximately 3 weeks


Changed on 12/8/2009

278663 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:California
Vaccinated:2006-11-03
Onset:2006-11-06
Submitted:2007-05-15
Entered:2007-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Military
Symptoms: Urticaria

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Broke out with hives 3 days after vaccination which lasted for approximately 3 weeks


Changed on 9/14/2017

278663 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:California
Vaccinated:2006-11-03
Onset:2006-11-06
Submitted:2007-05-15
Entered:2007-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 1 LA / IM

Administered by: Private      Purchased by: Military
Symptoms: Urticaria

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Broke out with hives 3 days after vaccination which lasted for approximately 3 weeks


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278663&WAYBACKHISTORY=ON


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