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This is VAERS ID 279900

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279900
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-16
Onset:2007-05-14
Submitted:2007-05-17
Entered:2007-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01884 / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Auricular swelling, Blood albumin normal, Blood creatinine normal, Blood urea normal, Blood electrolytes normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall XR 15mg 1 daily
Current Illness:
Preexisting Conditions: History ADHD on Adderall
Diagnostic Lab Data: CBC, Sed Rate, Lytes, BUN, Creat, Albumin WNL 5/15/07
CDC 'Split Type':

Write-up:Pt developed swollen L/S spine and bilateral knees, as well as swollen bilateral ears. Also hives on antecubital fossae and popliteal fossae. L/S spine and knees, as well as ears were red and pruritic. Diagnosed serum sickness.


Changed on 12/8/2009

VAERS ID: 279900 Before After
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-16
Onset:2007-05-14
Submitted:2007-05-17
Entered:2007-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01884 / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Auricular swelling, Blood albumin normal, Blood creatinine normal, Blood urea normal, Erythema, Full blood count normal, Joint swelling, Lip swelling, Pruritus, Serum sickness, Skin warm, Swelling, Urticaria, Red blood cell sedimentation rate normal, Blood electrolytes normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall XR 15mg 1 daily
Current Illness:
Preexisting Conditions: History ADHD on Adderall
Diagnostic Lab Data: CBC, Sed Rate, Lytes, BUN, Creat, Albumin WNL 5/15/07 records received 6/7/07-CBC and SED rate normal.
CDC 'Split Type':

Write-up:Pt developed swollen L/S spine and bilateral knees, as well as swollen bilateral ears. Also hives on antecubital fossae and popliteal fossae. L/S spine and knees, as well as ears were red and pruritic. Diagnosed serum sickness. 06/07/07-records received:4/16/07 Continues to be ADD symptomatic, increased Adderall XR. On 5/14/07 complained of pain on tailbone, knees, associated with swelling, erythema. Lesions and swelling on lower lip and left ear. Joints are painful and itchy. Bilateral knees edematous, red and warm to touch and somewhat tender. Full range of motion. Left elbow edematous, red and warm to touch and somewhat tender. 5/17/07 Questionable serum sickness. Return visit responsed to steroids. 5/18/07-complained of itchy with wheels on arms and face. 5/29/07-continues to break out in hives in evening only. To see allergist.


Changed on 12/7/2010

VAERS ID: 279900 Before After
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-16
Onset:2007-05-14
Submitted:2007-05-17
Entered:2007-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01884 / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Auricular swelling, Blood albumin normal, Blood creatinine normal, Blood urea normal, Erythema, Full blood count normal, Joint swelling, Lip swelling, Pruritus, Serum sickness, Skin warm, Swelling, Urticaria, Red blood cell sedimentation rate normal, Blood electrolytes normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall XR 15mg 1 daily
Current Illness:
Preexisting Conditions: History ADHD on Adderall
Diagnostic Lab Data: CBC, Sed Rate, Lytes, BUN, Creat, Albumin WNL 5/15/07 records received 6/7/07-CBC and SED rate normal.
CDC 'Split Type':

Write-up:Pt developed swollen L/S spine and bilateral knees, as well as swollen bilateral ears. Also hives on antecubital fossae and popliteal fossae. L/S spine and knees, as well as ears were red and pruritic. Diagnosed serum sickness. 06/07/07-records received:4/16/07 Continues to be ADD symptomatic, increased Adderall XR. On 5/14/07 complained of pain on tailbone, knees, associated with swelling, erythema. Lesions and swelling on lower lip and left ear. Joints are painful and itchy. Bilateral knees edematous, red and warm to touch and somewhat tender. Full range of motion. Left elbow edematous, red and warm to touch and somewhat tender. 5/17/07 Questionable serum sickness. Return visit responsed to steroids. 5/18/07-complained of itchy with wheels on arms and face. 5/29/07-continues to break out in hives in evening only. To see allergist.


Changed on 4/13/2011

VAERS ID: 279900 Before After
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-16
Onset:2007-05-14
Submitted:2007-05-17
Entered:2007-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01884 / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Auricular swelling, Blood albumin normal, Blood creatinine normal, Blood urea normal, Erythema, Full blood count normal, Joint swelling, Lip swelling, Pruritus, Serum sickness, Skin warm, Swelling, Urticaria, Red blood cell sedimentation rate normal, Blood electrolytes normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall XR 15mg 1 daily
Current Illness:
Preexisting Conditions: History ADHD on Adderall
Diagnostic Lab Data: CBC, Sed Rate, Lytes, BUN, Creat, Albumin WNL 5/15/07 records received 6/7/07-CBC and SED rate normal.
CDC 'Split Type':

Write-up:Pt developed swollen L/S spine and bilateral knees, as well as swollen bilateral ears. Also hives on antecubital fossae and popliteal fossae. L/S spine and knees, as well as ears were red and pruritic. Diagnosed serum sickness. 06/07/07-records received:4/16/07 Continues to be ADD symptomatic, increased Adderall XR. On 5/14/07 complained of pain on tailbone, knees, associated with swelling, erythema. Lesions and swelling on lower lip and left ear. Joints are painful and itchy. Bilateral knees edematous, red and warm to touch and somewhat tender. Full range of motion. Left elbow edematous, red and warm to touch and somewhat tender. 5/17/07 Questionable serum sickness. Return visit responsed to steroids. 5/18/07-complained of itchy with wheels on arms and face. 5/29/07-continues to break out in hives in evening only. To see allergist.


Changed on 5/13/2011

VAERS ID: 279900 Before After
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-16
Onset:2007-05-14
Submitted:2007-05-17
Entered:2007-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01884 / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Auricular swelling, Blood albumin normal, Blood creatinine normal, Blood urea normal, Erythema, Full blood count normal, Joint swelling, Lip swelling, Pruritus, Serum sickness, Skin warm, Swelling, Urticaria, Red blood cell sedimentation rate normal, Blood electrolytes normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall XR 15mg 1 daily
Current Illness:
Preexisting Conditions: History ADHD on Adderall
Diagnostic Lab Data: CBC, Sed Rate, Lytes, BUN, Creat, Albumin WNL 5/15/07 records received 6/7/07-CBC and SED rate normal.
CDC 'Split Type':

Write-up:Pt developed swollen L/S spine and bilateral knees, as well as swollen bilateral ears. Also hives on antecubital fossae and popliteal fossae. L/S spine and knees, as well as ears were red and pruritic. Diagnosed serum sickness. 06/07/07-records received:4/16/07 Continues to be ADD symptomatic, increased Adderall XR. On 5/14/07 complained of pain on tailbone, knees, associated with swelling, erythema. Lesions and swelling on lower lip and left ear. Joints are painful and itchy. Bilateral knees edematous, red and warm to touch and somewhat tender. Full range of motion. Left elbow edematous, red and warm to touch and somewhat tender. 5/17/07 Questionable serum sickness. Return visit responsed to steroids. 5/18/07-complained of itchy with wheels on arms and face. 5/29/07-continues to break out in hives in evening only. To see allergist.


Changed on 6/11/2011

VAERS ID: 279900 Before After
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-16
Onset:2007-05-14
Submitted:2007-05-17
Entered:2007-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01884 / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Auricular swelling, Blood albumin normal, Blood creatinine normal, Blood urea normal, Erythema, Full blood count normal, Joint swelling, Lip swelling, Pruritus, Serum sickness, Skin warm, Swelling, Urticaria, Red blood cell sedimentation rate normal, Blood electrolytes normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall XR 15mg 1 daily
Current Illness:
Preexisting Conditions: History ADHD on Adderall
Diagnostic Lab Data: CBC, Sed Rate, Lytes, BUN, Creat, Albumin WNL 5/15/07 records received 6/7/07-CBC and SED rate normal.
CDC 'Split Type':

Write-up:Pt developed swollen L/S spine and bilateral knees, as well as swollen bilateral ears. Also hives on antecubital fossae and popliteal fossae. L/S spine and knees, as well as ears were red and pruritic. Diagnosed serum sickness. 06/07/07-records received:4/16/07 Continues to be ADD symptomatic, increased Adderall XR. On 5/14/07 complained of pain on tailbone, knees, associated with swelling, erythema. Lesions and swelling on lower lip and left ear. Joints are painful and itchy. Bilateral knees edematous, red and warm to touch and somewhat tender. Full range of motion. Left elbow edematous, red and warm to touch and somewhat tender. 5/17/07 Questionable serum sickness. Return visit responsed to steroids. 5/18/07-complained of itchy with wheels on arms and face. 5/29/07-continues to break out in hives in evening only. To see allergist.


Changed on 6/14/2014

VAERS ID: 279900 Before After
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-16
Onset:2007-05-14
Submitted:2007-05-17
Entered:2007-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01884 / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Auricular swelling, Blood albumin normal, Blood creatinine normal, Blood urea normal, Erythema, Full blood count normal, Joint swelling, Lip swelling, Pruritus, Serum sickness, Skin warm, Swelling, Urticaria, Red blood cell sedimentation rate normal, Blood electrolytes normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall XR 15mg 1 daily
Current Illness:
Preexisting Conditions: History ADHD on Adderall
Diagnostic Lab Data: CBC, Sed Rate, Lytes, BUN, Creat, Albumin WNL 5/15/07 records received 6/7/07-CBC and SED rate normal.
CDC 'Split Type':

Write-up:Pt developed swollen L/S spine and bilateral knees, as well as swollen bilateral ears. Also hives on antecubital fossae and popliteal fossae. L/S spine and knees, as well as ears were red and pruritic. Diagnosed serum sickness. 06/07/07-records received:4/16/07 Continues to be ADD symptomatic, increased Adderall XR. On 5/14/07 complained of pain on tailbone, knees, associated with swelling, erythema. Lesions and swelling on lower lip and left ear. Joints are painful and itchy. Bilateral knees edematous, red and warm to touch and somewhat tender. Full range of motion. Left elbow edematous, red and warm to touch and somewhat tender. 5/17/07 Questionable serum sickness. Return visit responsed to steroids. 5/18/07-complained of itchy with wheels on arms and face. 5/29/07-continues to break out in hives in evening only. To see allergist.


Changed on 5/14/2017

VAERS ID: 279900 Before After
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-16
Onset:2007-05-14
Submitted:2007-05-17
Entered:2007-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01884 / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Auricular swelling, Blood albumin normal, Blood creatinine normal, Blood urea normal, Erythema, Full blood count normal, Joint swelling, Lip swelling, Pruritus, Serum sickness, Skin warm, Swelling, Urticaria, Red blood cell sedimentation rate normal, Blood electrolytes normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall XR 15mg 1 daily
Current Illness:
Preexisting Conditions: History ADHD on Adderall
Diagnostic Lab Data: CBC, Sed Rate, Lytes, BUN, Creat, Albumin WNL 5/15/07 records received 6/7/07-CBC and SED rate normal.
CDC 'Split Type':

Write-up:Pt developed swollen L/S spine and bilateral knees, as well as swollen bilateral ears. Also hives on antecubital fossae and popliteal fossae. L/S spine and knees, as well as ears were red and pruritic. Diagnosed serum sickness. 06/07/07-records received:4/16/07 Continues to be ADD symptomatic, increased Adderall XR. On 5/14/07 complained of pain on tailbone, knees, associated with swelling, erythema. Lesions and swelling on lower lip and left ear. Joints are painful and itchy. Bilateral knees edematous, red and warm to touch and somewhat tender. Full range of motion. Left elbow edematous, red and warm to touch and somewhat tender. 5/17/07 Questionable serum sickness. Return visit responsed to steroids. 5/18/07-complained of itchy with wheels on arms and face. 5/29/07-continues to break out in hives in evening only. To see allergist.


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