National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 279563

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279563
Age:17.0
Gender:Female
Location:Colorado
Vaccinated:2007-03-29
Onset:2007-04-19
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Rash erythematous, Rash maculo-papular, Rash pustular

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: Unknown
CDC 'Split Type':

Write-up:Initial and follow up information has been received from a physician and a health care professional concerning a 19 year old white female student who on 29-MAR-2007 at 1:00 pm was vaccinated IM in the left deltoid with a first dose of Gardasil. The physic"ian reported after receiving the injection the patient developed /"small red bumps and pustules behind her ears and along her neck./" Follow up report came from a healthcare professional and it was reported that on 19-APR-2007 at 8:00 am the patient had f


Changed on 12/8/2009

VAERS ID: 279563 Before After
Age:17.0
Gender:Female
Location:Colorado
Vaccinated:2007-03-29
Onset:2007-04-19
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Rash erythematous, Rash maculo-papular, Rash pustular

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: Unknown
CDC 'Split Type': (blank) WAES0704USA05797

Write-up:Initial and follow up information has been received from a physician and a health care professional concerning a 19 year old white female student who on 29-MAR-2007 at 1:00 pm was vaccinated IM in the left deltoid with a first dose of Gardasil. The physic"ian physician reported after receiving the injection the patient developed /"small "small red bumps and pustules behind her ears and along her neck./" neck." Follow up report came from a healthcare professional and it was reported that on 19-APR-2007 at 8:00 am the patient had f fine, red, non-itchy maculo papular rash behind both ears/thighs. She was treated with prescription medication. The outcome was unknown. Additional information is not expected.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279563&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166