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This is VAERS ID 278992

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278992
VAERS Form:
Age:18.0
Gender:Female
Location:South Dakota
Vaccinated:2007-01-29
Onset:2007-01-31
Submitted:2007-05-16
Entered:2007-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Pruritus, 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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Noted to have hives around lip / lower trunk area, walnut size, reddened, raised - c/o itching - took Zyrtec 10mg.


Changed on 12/8/2009

278992 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:South Dakota
Vaccinated:2007-01-29
Onset:2007-01-31
Submitted:2007-05-16
Entered:2007-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Erythema, Pruritus, 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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Noted to have hives around lip / lower trunk area, walnut size, reddened, raised - c/o itching - took Zyrtec 10mg.


Changed on 9/14/2017

278992 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:South Dakota
Vaccinated:2007-01-29
Onset:2007-01-31
Submitted:2007-05-16
Entered:2007-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 1 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Erythema, Pruritus, 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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Noted to have hives around lip / lower trunk area, walnut size, reddened, raised - c/o itching - took Zyrtec 10mg.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278992&WAYBACKHISTORY=ON


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