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This is VAERS ID 279557

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279557
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-18
Onset:2007-04-20
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: [therapy unspecified]; ORTHO TRI CYCLEN
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a health professional concerning a 21 year old female who on 18-APR-2007 was vaccinated with Gardasil (Lot #653978/0955F). Concomitant therapy included ORTHO TRI-CYCLEN. On the evening of 20-APR-2007 the patient experien"ced hives which were generalized on her trunk. The patient was instructed to take BENADRYL but it did not help. She was examined by a physician in the emergency room on 22-APR-07. She was not admitted. She was given ATARAX and prednisone. After the first


Changed on 12/8/2009

VAERS ID: 279557 Before After
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-18
Onset:2007-04-20
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: [therapy unspecified]; ORTHO TRI CYCLEN
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA05707

Write-up:Information has been received from a health professional concerning a 21 year old female who on 18-APR-2007 was vaccinated with Gardasil (Lot #653978/0955F). Concomitant therapy included ORTHO TRI-CYCLEN. On the evening of 20-APR-2007 the patient experien"ced experienced hives which were generalized on her trunk. The patient was instructed to take BENADRYL but it did not help. She was examined by a physician in the emergency room on 22-APR-07. She was not admitted. She was given ATARAX and prednisone. After the first dose of Atarax her rash resolved. It was reported that the patient took "CORICIDIN" (therapy unspecified) for the first time the morning of 20-APR-2007. the patient''s mother also stated that "her daughter often breaks out in hives". Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279557&WAYBACKHISTORY=ON


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