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This is VAERS ID 279569

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279569
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-28
Onset:2007-03-02
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Pruritus, Rash

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

Write-up:Information has been received from a certified medical assistant concerning a 26 year old female with no pertinent medical history and no prior drug reactions who on 28-FEB-2007 was vaccinated with first dose of Gardasil 0.5 cc intramuscularly in the left"deltoid (Lot#656049/0187U). On 02-MAR-2007, two days after receiving the dose, the patient first noticed itching and then saw that she had broke out in red dots on her chest and legs. The symptoms lasted for 2 to 3 days and on approximately 04-MAR-2007 th


Changed on 12/8/2009

VAERS ID: 279569 Before After
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-28
Onset:2007-03-02
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ANAPROX DS
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA06031

Write-up:Information has been received from a certified medical assistant concerning a 26 year old female with no pertinent medical history and no prior drug reactions who on 28-FEB-2007 was vaccinated with first dose of Gardasil 0.5 cc intramuscularly in the left"deltoid left deltoid (Lot#656049/0187U). On 02-MAR-2007, two days after receiving the dose, the patient first noticed itching and then saw that she had broke out in red dots on her chest and legs. The symptoms lasted for 2 to 3 days and on approximately 04-MAR-2007 th the patient recovered from broke out in red dots on chest and legs and itching. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 279569 Before After
Age:26.0
Gender:Female
Location:Unknown North Carolina
Vaccinated:2007-02-28
Onset:2007-03-02
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

Administered by: Other Private      Purchased by: Other
Symptoms: Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ANAPROX DS
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA06031

Write-up:Information has been received from a certified medical assistant concerning a 26 year old female with no pertinent medical history and no prior drug reactions who on 28-FEB-2007 was vaccinated with first dose of Gardasil 0.5 cc intramuscularly in the left deltoid (Lot#656049/0187U). On 02-MAR-2007, two days after receiving the dose, the patient first noticed itching and then saw that she had broke out in red dots on her chest and legs. The symptoms lasted for 2 to 3 days and on approximately 04-MAR-2007 the patient recovered from broke out in red dots on chest and legs and itching. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007; 7/6/2007. Initial and follow-up information has been received from a certified medical assistant concerning a 26 year old female, with no pertinent medical history and no prior drug reactions who on 28-FEB-2007 at 10:00 am was vaccinated with first dose GARDASIL 0.5 cc intramuscularly in the left deltoid (Lot#656049/0187U). Concomitant therapy included ANAPROX DS. On 02-MAR-2007, two days after receiving the dose, the patient first noticed itching and then saw that she had broke out in red dots on her chest and legs. The symptoms lasted for 2 to 3 days and on approximately 05-MAR-2007, the patient recovered. Additional information is not available.


Changed on 4/7/2010

VAERS ID: 279569 Before After
Age:26.0
Gender:Female
Location:North Carolina
Vaccinated:2007-02-28
Onset:2007-03-02
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Pruritus, Rash erythematous

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ANAPROX DS
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA06031

Write-up:Information has been received from a certified medical assistant concerning a 26 year old female with no pertinent medical history and no prior drug reactions who on 28-FEB-2007 was vaccinated with first dose of Gardasil 0.5 cc intramuscularly in the left deltoid (Lot#656049/0187U). On 02-MAR-2007, two days after receiving the dose, the patient first noticed itching and then saw that she had broke out in red dots on her chest and legs. The symptoms lasted for 2 to 3 days and on approximately 04-MAR-2007 the patient recovered from broke out in red dots on chest and legs and itching. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007; 7/6/2007. Initial and follow-up information has been received from a certified medical assistant concerning a 26 year old female, with no pertinent medical history and no prior drug reactions who on 28-FEB-2007 at 10:00 am was vaccinated with first dose GARDASIL 0.5 cc intramuscularly in the left deltoid (Lot#656049/0187U). Concomitant therapy included ANAPROX DS. On 02-MAR-2007, two days after receiving the dose, the patient first noticed itching and then saw that she had broke out in red dots on her chest and legs. The symptoms lasted for 2 to 3 days and on approximately 05-MAR-2007, the patient recovered. Additional information is not available.


Changed on 6/14/2014

VAERS ID: 279569 Before After
Age:26.0
Gender:Female
Location:North Carolina
Vaccinated:2007-02-28
Onset:2007-03-02
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Pruritus, Rash erythematous

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ANAPROX DS
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA06031

Write-up:Information has been received from a certified medical assistant concerning a 26 year old female with no pertinent medical history and no prior drug reactions who on 28-FEB-2007 was vaccinated with first dose of Gardasil 0.5 cc intramuscularly in the left deltoid (Lot#656049/0187U). On 02-MAR-2007, two days after receiving the dose, the patient first noticed itching and then saw that she had broke out in red dots on her chest and legs. The symptoms lasted for 2 to 3 days and on approximately 04-MAR-2007 the patient recovered from broke out in red dots on chest and legs and itching. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007; 7/6/2007. Initial and follow-up information has been received from a certified medical assistant concerning a 26 year old female, with no pertinent medical history and no prior drug reactions who on 28-FEB-2007 at 10:00 am was vaccinated with first dose GARDASIL 0.5 cc intramuscularly in the left deltoid (Lot#656049/0187U). Concomitant therapy included ANAPROX DS. On 02-MAR-2007, two days after receiving the dose, the patient first noticed itching and then saw that she had broke out in red dots on her chest and legs. The symptoms lasted for 2 to 3 days and on approximately 05-MAR-2007, the patient recovered. Additional information is not available.


Changed on 5/14/2017

VAERS ID: 279569 Before After
Age:26.0
Gender:Female
Location:North Carolina
Vaccinated:2007-02-28
Onset:2007-03-02
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Pruritus, Rash erythematous

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ANAPROX DS
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA06031

Write-up:Information has been received from a certified medical assistant concerning a 26 year old female with no pertinent medical history and no prior drug reactions who on 28-FEB-2007 was vaccinated with first dose of Gardasil 0.5 cc intramuscularly in the left deltoid (Lot#656049/0187U). On 02-MAR-2007, two days after receiving the dose, the patient first noticed itching and then saw that she had broke out in red dots on her chest and legs. The symptoms lasted for 2 to 3 days and on approximately 04-MAR-2007 the patient recovered from broke out in red dots on chest and legs and itching. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007; 7/6/2007. Initial and follow-up information has been received from a certified medical assistant concerning a 26 year old female, with no pertinent medical history and no prior drug reactions who on 28-FEB-2007 at 10:00 am was vaccinated with first dose GARDASIL 0.5 cc intramuscularly in the left deltoid (Lot#656049/0187U). Concomitant therapy included ANAPROX DS. On 02-MAR-2007, two days after receiving the dose, the patient first noticed itching and then saw that she had broke out in red dots on her chest and legs. The symptoms lasted for 2 to 3 days and on approximately 05-MAR-2007, the patient recovered. Additional information is not available.


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