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This is VAERS ID 279128

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279128
VAERS Form:
Age:15.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-04
Onset:2007-04-06
Submitted:2007-04-23
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Oedema peripheral, Urticaria

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

Write-up:Pt received Gardasil HPV vaccine #1 on 4/4/07. On 4/6/07 pt awoke with raised welts (hives) on arms, Right leg, and had swelling of the toes (bilateral). This lasted for 1 week.


Changed on 9/14/2017

279128 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-04
Onset:2007-04-06
Submitted:2007-04-23
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Oedema peripheral, Urticaria

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

Write-up:Pt received Gardasil HPV vaccine #1 on 4/4/07. On 4/6/07 pt awoke with raised welts (hives) on arms, Right leg, and had swelling of the toes (bilateral). This lasted for 1 week.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279128&WAYBACKHISTORY=ON


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