National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 279640

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279640
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2007-03-15
Onset:2007-04-09
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Rash, Laboratory test, Culture

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: diagnostic laboratory - results not reported, throat culture - results not reported
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 11 year old female who on 15-MAR-2007 was vaccinated with Gardasil (lot # 655619/1427F). On 09-APR-2007 the patient experienced rash that spread from the injection site down one arm and then to t"he other arm. Medical attention was sought. The patient had unspecified blood work and had throat culture (results not reported). Subsequently, the patient recovered from rash. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 279640 Before After
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2007-03-15
Onset:2007-04-09
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Rash, Laboratory test, Culture

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: diagnostic laboratory - results not reported, throat culture - results not reported
CDC 'Split Type': (blank) WAES0704USA06523

Write-up:Information has been received from a physician concerning a 11 year old female who on 15-MAR-2007 was vaccinated with Gardasil (lot # 655619/1427F). On 09-APR-2007 the patient experienced rash that spread from the injection site down one arm and then to t"he the other arm. Medical attention was sought. The patient had unspecified blood work and had throat culture (results not reported). Subsequently, the patient recovered from rash. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 279640 Before After
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2007-03-15
Onset:2007-04-09
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Rash, Laboratory test, Culture

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: diagnostic laboratory - results not reported, throat culture - results not reported
CDC 'Split Type': WAES0704USA06523

Write-up:This is in follow-up to report (s) previously submitted on 5/14/2007. Information has been received from a physician concerning a 11 year old female who on 15-MAR-2007 was vaccinated with Gardasil GARDASIL (lot # 655619/1427F). On 09-APR-2007 the patient experienced a erythematous rash that spread from the injection site down one arm and then to the other arm. Medical attention was sought. The patient had unspecified blood work and had throat culture (results not reported). Subsequently, the patient recovered from rash. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 279640 Before After
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2007-03-15
Onset:2007-04-09
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Rash, Laboratory test, Culture

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: diagnostic laboratory - results not reported, throat culture - results not reported
CDC 'Split Type': WAES0704USA06523

Write-up:This is in follow-up to report (s) previously submitted on 5/14/2007. Information has been received from a physician concerning a 11 year old female who on 15-MAR-2007 was vaccinated with GARDASIL (lot # 655619/1427F). On 09-APR-2007 the patient experienced a erythematous rash that spread from the injection site down one arm and then to the other arm. Medical attention was sought. The patient had unspecified blood work and had throat culture (results not reported). Subsequently, the patient recovered from rash. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 279640 Before After
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2007-03-15
Onset:2007-04-09
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Rash, Laboratory test, Culture

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: diagnostic laboratory - results not reported, throat culture - results not reported
CDC 'Split Type': WAES0704USA06523

Write-up:This is in follow-up to report (s) previously submitted on 5/14/2007. Information has been received from a physician concerning a 11 year old female who on 15-MAR-2007 was vaccinated with GARDASIL (lot # 655619/1427F). On 09-APR-2007 the patient experienced a erythematous rash that spread from the injection site down one arm and then to the other arm. Medical attention was sought. The patient had unspecified blood work and had throat culture (results not reported). Subsequently, the patient recovered from rash. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279640&WAYBACKHISTORY=ON


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