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This is VAERS ID 281586

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

281586
VAERS Form:
Age:15.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-21
Onset:2007-05-21
Submitted:2007-06-13
Entered:2007-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

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

Write-up:Hives-lips, face and itching 6 hours after having Gardasil #2 Patient had eaten sushi with that 6 hr period


Changed on 12/8/2009

281586 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-21
Onset:2007-05-21
Submitted:2007-06-13
Entered:2007-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

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

Write-up:Hives-lips, face and itching 6 hours after having Gardasil #2 Patient had eaten sushi with that 6 hr period


Changed on 1/5/2010

281586 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-21
Onset:2007-05-21
Submitted:2007-06-13
Entered:2007-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0398U / 1 RA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

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

Write-up:Hives-lips, face and itching 6 hours after having Gardasil #2 Patient had eaten sushi with that 6 hr period


Changed on 9/14/2017

281586 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-21
Onset:2007-05-21
Submitted:2007-06-13
Entered:2007-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0398U / 1 2 RA / 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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Hives-lips, face and itching 6 hours after having Gardasil #2 Patient had eaten sushi with that 6 hr period


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281586&WAYBACKHISTORY=ON


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