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This is VAERS ID 280259

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

280259
VAERS Form:
Age:12.0
Gender:Female
Location:Louisiana
Vaccinated:2007-02-26
Onset:2007-02-27
Submitted:2007-06-04
Entered:2007-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cheilitis, Lip blister, Oral herpes

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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Mom stated red lips 24 hours post injection. Mom stated fever blisters around lips 48 hours post injection. Mom called md today; Doctor, who stated not to give second vaccine.


Changed on 9/14/2017

280259 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Louisiana
Vaccinated:2007-02-26
Onset:2007-02-27
Submitted:2007-06-04
Entered:2007-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cheilitis, Lip blister, Oral herpes

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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Mom stated red lips 24 hours post injection. Mom stated fever blisters around lips 48 hours post injection. Mom called md today; Doctor, who stated not to give second vaccine.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=280259&WAYBACKHISTORY=ON


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