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This is VAERS ID 279259

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279259
Age:15.0
Gender:Female
Location:New York
Vaccinated:2007-03-26
Onset:2007-03-26
Submitted:2007-05-18
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 12/08F / 0 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Injection site urticaria, Tremor, Urticaria

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

Write-up:Pt became shaky, with hives on left arm at injection site and spread to R arm and chest.


Changed on 12/8/2009

VAERS ID: 279259 Before After
Age:15.0
Gender:Female
Location:New York
Vaccinated:2007-03-26
Onset:2007-03-26
Submitted:2007-05-18
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 12/08F / 0 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Injection site urticaria, Tremor, Urticaria

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

Write-up:Pt became shaky, with hives on left arm at injection site and spread to R arm and chest.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279259&WAYBACKHISTORY=ON


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