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This is VAERS ID 279041

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279041
Age:12.0
Gender:Female
Location:California
Vaccinated:2007-03-24
Onset:2007-03-26
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Genital rash, Vulvovaginal pruritus

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 12 year old female patient who on 24-MAR-2007 was vaccinated with a second dose of Gardasil. On 26-MAR-2007 the patient developed a rash around the genital area and vaginal itch. It was unknown w"hether the physician plan to administer the third dose. Unspecified medical attention was sought. At the time of this report, the patient''''s outcome was unknown. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 279041 Before After
Age:12.0
Gender:Female
Location:California
Vaccinated:2007-03-24
Onset:2007-03-26
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Genital rash, Vulvovaginal pruritus

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA00365

Write-up:Information has been received from a physician concerning a 12 year old female patient who on 24-MAR-2007 was vaccinated with a second dose of Gardasil. On 26-MAR-2007 the patient developed a rash around the genital area and vaginal itch. It was unknown w"hether whether the physician plan to administer the third dose. Unspecified medical attention was sought. At the time of this report, the patient''''s patient''s outcome was unknown. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279041&WAYBACKHISTORY=ON


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