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This is VAERS ID 279202

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279202
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-03-02
Onset:0000-00-00
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: Rash maculo-papular

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: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician, concerning a 14 year old female patient, who on 02-MAR-2007 was vaccinated with the first dose of Gardasil. There was no concomitant medication. Subsequently the patient experienced a generalized, non-prurit"ic, maculopapular rash (date not specified). At the time of this report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 279202 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-03-02
Onset:0000-00-00
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: Rash maculo-papular

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: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA02346

Write-up:Information has been received from a physician, concerning a 14 year old female patient, who on 02-MAR-2007 was vaccinated with the first dose of Gardasil. There was no concomitant medication. Subsequently the patient experienced a generalized, non-prurit"ic, non-pruritic, maculopapular rash (date not specified). At the time of this report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested.


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