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This is VAERS ID 279492

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279492
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-12
Onset:2007-04-12
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash, Reaction to previous exposure to any vaccine

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a 24 year old female who on an unspecified date, was vaccinated with her first dose of Gardasil. Subsequently the patient experienced rash that went up from her arm to her shoulders. On 12-APR-2007 was vaccinated with he"r second dose of Gardasil. On 12-APR-2007 the patient experienced rash that went up from her arm to her shoulders. Subsequently, the patient recovering. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 279492 Before After
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-12
Onset:2007-04-12
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash, Reaction to previous exposure to any vaccine

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0704USA04053

Write-up:Information has been received from a 24 year old female who on an unspecified date, was vaccinated with her first dose of Gardasil. Subsequently the patient experienced rash that went up from her arm to her shoulders. On 12-APR-2007 was vaccinated with he"r her second dose of Gardasil. On 12-APR-2007 the patient experienced rash that went up from her arm to her shoulders. Subsequently, the patient recovering. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279492&WAYBACKHISTORY=ON


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