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This is VAERS ID 279917

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279917
Age:17.0
Gender:Female
Location:Minnesota
Vaccinated:2007-05-25
Onset:2007-05-25
Submitted:2007-05-29
Entered:2007-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Rash, Rash pruritic

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Depo Provera (given 5/7/07)
Current Illness: no
Preexisting Conditions: LSIL PAP on 11-15-06.
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient received Gardasil dose #1 Friday(5/25/07) and developed pinpoint, intensely pruritic rash on thighs to knees. Did not extend up onto trunk, did not extend below knees. Presented to clinic this afternoon (first day open after holiday) with concern.


Changed on 12/8/2009

VAERS ID: 279917 Before After
Age:17.0
Gender:Female
Location:Minnesota
Vaccinated:2007-05-25
Onset:2007-05-25
Submitted:2007-05-29
Entered:2007-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Rash, Rash pruritic

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Depo Provera (given 5/7/07)
Current Illness: no
Preexisting Conditions: LSIL PAP on 11-15-06.
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient received Gardasil dose #1 Friday(5/25/07) and developed pinpoint, intensely pruritic rash on thighs to knees. Did not extend up onto trunk, did not extend below knees. Presented to clinic this afternoon (first day open after holiday) with concern.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279917&WAYBACKHISTORY=ON


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