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This is VAERS ID 279703

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279703
VAERS Form:
Age:26.0
Gender:Female
Location:Missouri
Vaccinated:2007-02-19
Onset:2007-02-28
Submitted:2007-03-08
Entered:2007-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site induration, Rash, Urticaria

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

Write-up:Rash, hives that spread up back and buttock - Has hard knot at injection site.


Changed on 12/8/2009

279703 Before After
VAERS Form:
Age:26.0
Gender:Female
Location:Missouri
Vaccinated:2007-02-19
Onset:2007-02-28
Submitted:2007-03-08
Entered:2007-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 - / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Injection site induration, Rash, Urticaria

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

Write-up:Rash, hives that spread up back and buttock - Has hard knot at injection site.


Changed on 9/14/2017

279703 Before After
VAERS Form:(blank) 1
Age:26.0
Gender:Female
Location:Missouri
Vaccinated:2007-02-19
Onset:2007-02-28
Submitted:2007-03-08
Entered:2007-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Injection site induration, Rash, Urticaria

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

Write-up:Rash, hives that spread up back and buttock - Has hard knot at injection site.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279703&WAYBACKHISTORY=ON


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