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This is VAERS ID 279043

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279043
Age:18.0
Gender:Female
Location:Minnesota
Vaccinated:2007-04-01
Onset:2007-04-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a consumer concerning her daughter, an 18 year old female, who on 01-APR-2007 was vaccinated with a dose, 0.5ml, of Gardasil. There was no concomitant medication. The consumer reported that on 01-APR-2007 after receiving"the vaccination, her daughter /"broke out in hives./" At the time of this report, the consumer''''s daughter had not recovered from the hives. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 279043 Before After
Age:18.0
Gender:Female
Location:Minnesota
Vaccinated:2007-04-01
Onset:2007-04-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0704USA00397

Write-up:Information has been received from a consumer concerning her daughter, an 18 year old female, who on 01-APR-2007 was vaccinated with a dose, 0.5ml, of Gardasil. There was no concomitant medication. The consumer reported that on 01-APR-2007 after receiving"the receiving the vaccination, her daughter /"broke "broke out in hives./" hives." At the time of this report, the consumer''''s consumer''s daughter had not recovered from the hives. The patient sought unspecified medical attention. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279043&WAYBACKHISTORY=ON


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