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This is VAERS ID 279926

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279926
Age:18.0
Gender:Female
Location:Maryland
Vaccinated:2007-05-22
Onset:2007-05-24
Submitted:2007-05-29
Entered:2007-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0210U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dyspnoea, Food allergy, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: nuts (only reaction, runny nose)
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:On 5/22/07 rec''''d vaccine. On 5/24/07 when at work and mixing cappuccino from powder (powder became aerosolized) Pt started with hives and SOB. Seen in ES and rec''''d Benadryl. Pt told by allergist had /"small allergy to nuts/" of skin testing at cappuccin"o powder has nuts.


Changed on 12/8/2009

VAERS ID: 279926 Before After
Age:18.0
Gender:Female
Location:Maryland
Vaccinated:2007-05-22
Onset:2007-05-24
Submitted:2007-05-29
Entered:2007-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0210U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dyspnoea, Food allergy, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: nuts (only reaction, runny nose)
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:On 5/22/07 rec''''d rec''d vaccine. On 5/24/07 when at work and mixing cappuccino from powder (powder became aerosolized) Pt started with hives and SOB. Seen in ES and rec''''d rec''d Benadryl. Pt told by allergist had /"small "small allergy to nuts/" nuts" of skin testing at cappuccin"o cappuccino powder has nuts.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279926&WAYBACKHISTORY=ON


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