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This is VAERS ID 280483

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 280483
VAERS Form:
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2007-05-29
Onset:2007-05-30
Submitted:2007-06-05
Entered:2007-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: 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: prednisone,sulfa,prozac
Current Illness: none
Preexisting Conditions: allergic to amoxicillin,congential adrenal hyperplasia
Allergies:
Diagnostic Lab Data: none05
CDC 'Split Type':

Write-up: urticarial rash all over body esp.on belly


Changed on 12/8/2009

VAERS ID: 280483 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2007-05-29
Onset:2007-05-30
Submitted:2007-06-05
Entered:2007-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: 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: prednisone,sulfa,prozac
Current Illness: none
Preexisting Conditions: allergic to amoxicillin,congential adrenal hyperplasia
Allergies:
Diagnostic Lab Data: none05
CDC 'Split Type':

Write-up: urticarial rash all over body esp.on belly


Changed on 9/14/2017

VAERS ID: 280483 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2007-05-29
Onset:2007-05-30
Submitted:2007-06-05
Entered:2007-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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: prednisone,sulfa,prozac
Current Illness: none
Preexisting Conditions: allergic to amoxicillin,congential adrenal hyperplasia
Allergies:
Diagnostic Lab Data: none05
CDC 'Split Type':

Write-up: urticarial rash all over body esp.on belly


Changed on 2/14/2018

VAERS ID: 280483 Before After
VAERS Form:1
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2007-05-29
Onset:2007-05-30
Submitted:2007-06-05
Entered:2007-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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: prednisone,sulfa,prozac
Current Illness: none
Preexisting Conditions: allergic to amoxicillin,congential adrenal hyperplasia
Allergies:
Diagnostic Lab Data: none05
CDC 'Split Type':

Write-up: urticarial rash all over body esp.on belly


Changed on 6/14/2018

VAERS ID: 280483 Before After
VAERS Form:1
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2007-05-29
Onset:2007-05-30
Submitted:2007-06-05
Entered:2007-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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: prednisone,sulfa,prozac
Current Illness: none
Preexisting Conditions: allergic to amoxicillin,congential adrenal hyperplasia
Allergies:
Diagnostic Lab Data: none05
CDC 'Split Type':

Write-up: urticarial rash all over body esp.on belly


Changed on 8/14/2018

VAERS ID: 280483 Before After
VAERS Form:1
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2007-05-29
Onset:2007-05-30
Submitted:2007-06-05
Entered:2007-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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: prednisone,sulfa,prozac
Current Illness: none
Preexisting Conditions: allergic to amoxicillin,congential adrenal hyperplasia
Allergies:
Diagnostic Lab Data: none05
CDC 'Split Type':

Write-up: urticarial rash all over body esp.on belly

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=280483&WAYBACKHISTORY=ON


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