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This is VAERS ID 278994

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 278994
Age:13.0
Gender:Female
Location:California
Vaccinated:2007-05-14
Onset:2007-05-14
Submitted:2007-05-18
Entered:2007-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 LA / -

Administered by: Other      Purchased by: Unknown
Symptoms: Pruritus, Rash generalised, Rash macular, Rash pruritic

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: Ankle sprain, no allergies, birth defects
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Within 4 hours of receiving vaccine in left arm, received rash (red, macular, lacy) which was itching and extended to rest of her body lasting 3-4 days.


Changed on 12/8/2009

VAERS ID: 278994 Before After
Age:13.0
Gender:Female
Location:California
Vaccinated:2007-05-14
Onset:2007-05-14
Submitted:2007-05-18
Entered:2007-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 LA / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Pruritus, Rash generalised, Rash macular, Rash pruritic

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: Ankle sprain, no allergies, birth defects
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Within 4 hours of receiving vaccine in left arm, received rash (red, macular, lacy) which was itching and extended to rest of her body lasting 3-4 days.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278994&WAYBACKHISTORY=ON


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