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This is VAERS ID 279058

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279058
VAERS Form:
Age:
Gender:Female
Location:Florida
Vaccinated:2007-02-20
Onset:2007-02-20
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner concerning a female (age not reported) who on approximately 20-FEB-2007 (approximately 6 weeks ago) was vaccinated with the first dose of Gardasil, injection. Concomitant medication was not reported."On 20-FEB-2007 (approximately 6 weeks ago), the patient developed erythema in the arm in which she was vaccinated as well as a pruritic rash. The symptoms developed the same day she was vaccinated. The patient sought unspecified medical attention. Subsequ


Changed on 12/8/2009

279058 Before After
VAERS Form:
Age:
Gender:Female
Location:Florida
Vaccinated:2007-02-20
Onset:2007-02-20
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site erythema, Injection site pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0704USA00671

Write-up:Information has been received from a nurse practitioner concerning a female (age not reported) who on approximately 20-FEB-2007 (approximately 6 weeks ago) was vaccinated with the first dose of Gardasil, injection. Concomitant medication was not reported."On reported. On 20-FEB-2007 (approximately 6 weeks ago), the patient developed erythema in the arm in which she was vaccinated as well as a pruritic rash. The symptoms developed the same day she was vaccinated. The patient sought unspecified medical attention. Subsequ Subsequently, the patient recovered from erythema arm and pruritic rash approximately 36 hours later. Additional information has been requested.


Changed on 9/14/2017

279058 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Florida
Vaccinated:2007-02-20
Onset:2007-02-20
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA00671

Write-up:Information has been received from a nurse practitioner concerning a female (age not reported) who on approximately 20-FEB-2007 (approximately 6 weeks ago) was vaccinated with the first dose of Gardasil, injection. Concomitant medication was not reported. On 20-FEB-2007 (approximately 6 weeks ago), the patient developed erythema in the arm in which she was vaccinated as well as a pruritic rash. The symptoms developed the same day she was vaccinated. The patient sought unspecified medical attention. Subsequently, the patient recovered from erythema arm and pruritic rash approximately 36 hours later. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279058&WAYBACKHISTORY=ON


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