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This is VAERS ID 279266

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279266
VAERS Form:
Age:15.0
Gender:Female
Location:Illinois
Vaccinated:2007-05-03
Onset:2007-05-04
Submitted:2007-05-09
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: 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: Scabies
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Received Gardasil on 5-3-07. Also was provided prescription for Elimite cream. Cream applied on the pm of 5-3-07. Child awoke w/diffuse hives on 5-4-07.


Changed on 12/8/2009

279266 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Illinois
Vaccinated:2007-05-03
Onset:2007-05-04
Submitted:2007-05-09
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: 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: Scabies
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Received Gardasil on 5-3-07. Also was provided prescription for Elimite cream. Cream applied on the pm of 5-3-07. Child awoke w/diffuse hives on 5-4-07.


Changed on 9/14/2017

279266 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Illinois
Vaccinated:2007-05-03
Onset:2007-05-04
Submitted:2007-05-09
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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: Scabies
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Received Gardasil on 5-3-07. Also was provided prescription for Elimite cream. Cream applied on the pm of 5-3-07. Child awoke w/diffuse hives on 5-4-07.


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