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This is VAERS ID 279599

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279599
VAERS Form:
Age:45.0
Gender:Male
Location:California
Vaccinated:2007-05-11
Onset:2007-05-12
Submitted:2007-05-24
Entered:2007-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Rash generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Viagra
Current Illness: HPV
Preexisting Conditions: PCN, Bactrim
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Rash over entire body


Changed on 12/8/2009

279599 Before After
VAERS Form:
Age:45.0 44.0
Gender:Male
Location:California
Vaccinated:2007-05-11
Onset:2007-05-12
Submitted:2007-05-24
Entered:2007-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Rash generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Viagra
Current Illness: HPV
Preexisting Conditions: PCN, Bactrim
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Rash over entire body


Changed on 6/14/2014

279599 Before After
VAERS Form:
Age:44.0
Gender:Male
Location:California
Vaccinated:2007-05-11
Onset:2007-05-12
Submitted:2007-05-24
Entered:2007-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Rash generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Viagra
Current Illness: HPV
Preexisting Conditions: PCN, Bactrim
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Rash over entire body


Changed on 5/14/2017

279599 Before After
VAERS Form:
Age:44.0
Gender:Male
Location:California
Vaccinated:2007-05-11
Onset:2007-05-12
Submitted:2007-05-24
Entered:2007-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Rash generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Viagra
Current Illness: HPV
Preexisting Conditions: PCN, Bactrim
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Rash over entire body


Changed on 9/14/2017

279599 Before After
VAERS Form:(blank) 1
Age:44.0
Gender:Male
Location:California
Vaccinated:2007-05-11
Onset:2007-05-12
Submitted:2007-05-24
Entered:2007-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 1 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Rash generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Viagra
Current Illness: HPV
Preexisting Conditions: PCN, Bactrim
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Rash over entire body


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