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This is VAERS ID 279059

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279059
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-01
Onset:2007-02-02
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Rash generalised

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

Write-up:Information has been received from a nurse practitioner, via a company representative, concerning a 15 year old female patient, who on 01-FEB-2007 was vaccinated with the first dose of Gardasil (Lot # 655503/0012U). There was no concomitant medication. On"02-FEB-2007, within 24 hours after the vaccination, the patient developed a rash on the arm and trunk. On approximately 04-FEB-2007 (/"48 hours later/") the patient''''s rash spread to the legs. The nurse practitioner stated that the rash /"lasted 2 weeks w


Changed on 12/8/2009

VAERS ID: 279059 Before After
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-01
Onset:2007-02-02
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Rash generalised

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: none
CDC 'Split Type': (blank) WAES0704USA00739

Write-up:Information has been received from a nurse practitioner, via a company representative, concerning a 15 year old female patient, who on 01-FEB-2007 was vaccinated with the first dose of Gardasil (Lot # 655503/0012U). There was no concomitant medication. On"02-FEB-2007, On 02-FEB-2007, within 24 hours after the vaccination, the patient developed a rash on the arm and trunk. On approximately 04-FEB-2007 (/"48 ("48 hours later/") later") the patient''''s patient''s rash spread to the legs. The nurse practitioner stated that the rash /"lasted "lasted 2 weeks w with no fever or itching," and confirmed that the patient had recovered from the rash. The patient sought unspecified medical attention. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279059&WAYBACKHISTORY=ON


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