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This is VAERS ID 279646

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279646
Age:15.0
Gender:Female
Location:Iowa
Vaccinated:2007-04-09
Onset:2007-04-10
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Throat irritation

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

Write-up:Information has been received from a nurse practitioner and a licensed practical nurse concerning a 15 year old, female, student with no illness at time of vaccination with Bactrim allergy, rash who on 09-APR-2007 at 2:00 p.m. was vaccinated intramuscular"ly with the first dose of Gardasil, (Lot #656049/0187U). It was reported that at 8:00 a.m. on 10-APR-2007, the patient had ''''a tickly feeling in her throat - which caused her to clear her throat, constantly. It was reported that the patient''''s /"tickly fe


Changed on 12/8/2009

VAERS ID: 279646 Before After
Age:15.0
Gender:Female
Location:Iowa
Vaccinated:2007-04-09
Onset:2007-04-10
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Throat irritation

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Sulfonamide allergy; Rash
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA06799

Write-up:Information has been received from a nurse practitioner and a licensed practical nurse concerning a 15 year old, female, student with no illness at time of vaccination with Bactrim allergy, rash who on 09-APR-2007 at 2:00 p.m. was vaccinated intramuscular"ly intramuscularly with the first dose of Gardasil, (Lot #656049/0187U). It was reported that at 8:00 a.m. on 10-APR-2007, the patient had ''''a ''a tickly feeling in her throat - which caused her to clear her throat, constantly. It was reported that the patient''''s /"tickly fe patient''s "tickly feeling in her throat" which caused to clear her throat, constantly, went away after twenty four hours. It was reported that there was no soreness to the injection site noted. The patient sought unspecified medical attention. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279646&WAYBACKHISTORY=ON


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