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This is VAERS ID 279225

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279225
VAERS Form:
Age:10.0
Gender:Female
Location:Mississippi
Vaccinated:0000-00-00
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 pustular

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician, via a company representative, concerning a 10 year old female patient, who was vaccinated with the first dose of Gardasil (date and dose not specified). /"About 1 to 2 days later/" the patient developed /"a"pustular rash on her hairline, face and abdomen. /" The physician indicated that the patient recovered from the event (date not specified). The patient sought unspecified medical attention. Additional information has been requested.


Changed on 12/8/2009

279225 Before After
VAERS Form:
Age:10.0
Gender:Female
Location:Mississippi
Vaccinated:0000-00-00
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 pustular

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA03077

Write-up:Information has been received from a physician, via a company representative, concerning a 10 year old female patient, who was vaccinated with the first dose of Gardasil (date and dose not specified). /"About "About 1 to 2 days later/" later" the patient developed /"a"pustular "a pustular rash on her hairline, face and abdomen. /" " The physician indicated that the patient recovered from the event (date not specified). The patient sought unspecified medical attention. Additional information has been requested.


Changed on 3/2/2010

279225 Before After
VAERS Form:
Age:10.0
Gender:Female
Location:Mississippi
Vaccinated:0000-00-00
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 Private      Purchased by: Other Private
Symptoms: Rash pustular

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA03077

Write-up:Information has been received from a physician, via a company representative, concerning a 10 year old female patient, who was vaccinated with the first dose of Gardasil (date and dose not specified). "About 1 to 2 days later" the patient developed "a pustular rash on her hairline, face and abdomen. " The physician indicated that the patient recovered from the event (date not specified). The patient sought unspecified medical attention. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information has been received from a physician, via a company representative, concerning a 10 year old female patient, who was vaccinated with the first dose of GARDASIL (date and dose not specified). "About 1 to 2 days later" the patient developed a "strange rash", described as "a pustular rash on her hairline, face and abdomen". The physician indicated that the patient recovered from the event (date not specified). The patient sought unspecified medical attention. No further information is expected.


Changed on 4/7/2010

279225 Before After
VAERS Form:
Age:10.0
Gender:Female
Location:Mississippi
Vaccinated:0000-00-00
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: Private      Purchased by: Private
Symptoms: Rash pustular

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA03077

Write-up:Information has been received from a physician, via a company representative, concerning a 10 year old female patient, who was vaccinated with the first dose of Gardasil (date and dose not specified). "About 1 to 2 days later" the patient developed "a pustular rash on her hairline, face and abdomen. " The physician indicated that the patient recovered from the event (date not specified). The patient sought unspecified medical attention. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information has been received from a physician, via a company representative, concerning a 10 year old female patient, who was vaccinated with the first dose of GARDASIL (date and dose not specified). "About 1 to 2 days later" the patient developed a "strange rash", described as "a pustular rash on her hairline, face and abdomen". The physician indicated that the patient recovered from the event (date not specified). The patient sought unspecified medical attention. No further information is expected.


Changed on 6/14/2014

279225 Before After
VAERS Form:
Age:10.0
Gender:Female
Location:Mississippi
Vaccinated:0000-00-00
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: Private      Purchased by: Private
Symptoms: Rash pustular

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA03077

Write-up:Information has been received from a physician, via a company representative, concerning a 10 year old female patient, who was vaccinated with the first dose of Gardasil (date and dose not specified). "About 1 to 2 days later" the patient developed "a pustular rash on her hairline, face and abdomen. " The physician indicated that the patient recovered from the event (date not specified). The patient sought unspecified medical attention. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information has been received from a physician, via a company representative, concerning a 10 year old female patient, who was vaccinated with the first dose of GARDASIL (date and dose not specified). "About 1 to 2 days later" the patient developed a "strange rash", described as "a pustular rash on her hairline, face and abdomen". The physician indicated that the patient recovered from the event (date not specified). The patient sought unspecified medical attention. No further information is expected.


Changed on 5/14/2017

279225 Before After
VAERS Form:
Age:10.0
Gender:Female
Location:Mississippi
Vaccinated:0000-00-00
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: Private      Purchased by: Private
Symptoms: Rash pustular

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA03077

Write-up:Information has been received from a physician, via a company representative, concerning a 10 year old female patient, who was vaccinated with the first dose of Gardasil (date and dose not specified). "About 1 to 2 days later" the patient developed "a pustular rash on her hairline, face and abdomen. " The physician indicated that the patient recovered from the event (date not specified). The patient sought unspecified medical attention. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information has been received from a physician, via a company representative, concerning a 10 year old female patient, who was vaccinated with the first dose of GARDASIL (date and dose not specified). "About 1 to 2 days later" the patient developed a "strange rash", described as "a pustular rash on her hairline, face and abdomen". The physician indicated that the patient recovered from the event (date not specified). The patient sought unspecified medical attention. No further information is expected.


Changed on 9/14/2017

279225 Before After
VAERS Form:(blank) 1
Age:10.0
Gender:Female
Location:Mississippi
Vaccinated:0000-00-00
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 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Rash pustular

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA03077

Write-up:Information has been received from a physician, via a company representative, concerning a 10 year old female patient, who was vaccinated with the first dose of Gardasil (date and dose not specified). "About 1 to 2 days later" the patient developed "a pustular rash on her hairline, face and abdomen. " The physician indicated that the patient recovered from the event (date not specified). The patient sought unspecified medical attention. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information has been received from a physician, via a company representative, concerning a 10 year old female patient, who was vaccinated with the first dose of GARDASIL (date and dose not specified). "About 1 to 2 days later" the patient developed a "strange rash", described as "a pustular rash on her hairline, face and abdomen". The physician indicated that the patient recovered from the event (date not specified). The patient sought unspecified medical attention. No further information is expected.


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