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This is VAERS ID 279181

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279181
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-21
Onset:2007-03-25
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash

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

Write-up:Information has been received from a healthcare worker concerning a 22 year old female with a penicillin allergy and Benadryl allergy and no pertinent medical history who on 21-MAR-2007 was vaccinated IM with 0.5 mL Gardasil (lot # 656372/0243U). There wa"s no concomitant medication. On 25-MAR-2007 the patient developed a rash on her torso. No lab diagnostic studies were performed. The rash was treated with an injection of prednisone, and as of 29-MAR-2007 the patient was fully recovered. Additional inform


Changed on 12/8/2009

VAERS ID: 279181 Before After
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-21
Onset:2007-03-25
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Penicillin allergy; Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0704USA01530

Write-up:Information has been received from a healthcare worker concerning a 22 year old female with a penicillin allergy and Benadryl allergy and no pertinent medical history who on 21-MAR-2007 was vaccinated IM with 0.5 mL Gardasil (lot # 656372/0243U). There wa"s was no concomitant medication. On 25-MAR-2007 the patient developed a rash on her torso. No lab diagnostic studies were performed. The rash was treated with an injection of prednisone, and as of 29-MAR-2007 the patient was fully recovered. Additional inform information has been requested.


Changed on 3/2/2010

VAERS ID: 279181 Before After
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-21
Onset:2007-03-25 2007-03-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U 656372/0243U / - 0 - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Penicillin allergy; Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA01530

Write-up:Information has been received from a healthcare worker concerning a 22 year old female with a penicillin allergy and Benadryl allergy and no pertinent medical history who on 21-MAR-2007 was vaccinated IM with 0.5 mL Gardasil (lot # 656372/0243U). There was no concomitant medication. On 25-MAR-2007 the patient developed a rash on her torso. No lab diagnostic studies were performed. The rash was treated with an injection of prednisone, and as of 29-MAR-2007 the patient was fully recovered. Additional information has been requested. is not expected.


Changed on 6/14/2014

VAERS ID: 279181 Before After
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-21
Onset:2007-03-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 656372/0243U / 0 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Penicillin allergy; Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA01530

Write-up:Information has been received from a healthcare worker concerning a 22 year old female with a penicillin allergy and Benadryl allergy and no pertinent medical history who on 21-MAR-2007 was vaccinated IM with 0.5 mL Gardasil (lot # 656372/0243U). There was no concomitant medication. On 25-MAR-2007 the patient developed a rash on her torso. No lab diagnostic studies were performed. The rash was treated with an injection of prednisone, and as of 29-MAR-2007 the patient was fully recovered. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 279181 Before After
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-21
Onset:2007-03-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 656372/0243U / 0 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Penicillin allergy; Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA01530

Write-up:Information has been received from a healthcare worker concerning a 22 year old female with a penicillin allergy and Benadryl allergy and no pertinent medical history who on 21-MAR-2007 was vaccinated IM with 0.5 mL Gardasil (lot # 656372/0243U). There was no concomitant medication. On 25-MAR-2007 the patient developed a rash on her torso. No lab diagnostic studies were performed. The rash was treated with an injection of prednisone, and as of 29-MAR-2007 the patient was fully recovered. Additional information is not expected.


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