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This is VAERS ID 281668

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 281668
Age:20.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-06
Onset:2007-06-08
Submitted:2007-06-08
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 2 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2610AA / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Urticaria, Vaccine positive rechallenge

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: hives~HPV (Gardasil)~1~19~In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Developed generalized hives this AM (6/8/07) Rx with Benadryl, per mom - same thing occurred 1 wk after HPV #1 and HPV #2


Changed on 12/8/2009

VAERS ID: 281668 Before After
Age:20.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-06
Onset:2007-06-08
Submitted:2007-06-08
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 2 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2610AA / 0 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Urticaria, Vaccine positive rechallenge

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: hives~HPV (Gardasil)~1~19~In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Developed generalized hives this AM (6/8/07) Rx with Benadryl, per mom - same thing occurred 1 wk after HPV #1 and HPV #2


Changed on 5/14/2017

VAERS ID: 281668 Before After
Age:20.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-06
Onset:2007-06-08
Submitted:2007-06-08
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 2 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2610AA / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Urticaria, Vaccine positive rechallenge

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: hives~HPV (Gardasil)~1~19~In (Gardasil)~1~19.00~In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Developed generalized hives this AM (6/8/07) Rx with Benadryl, per mom - same thing occurred 1 wk after HPV #1 and HPV #2


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281668&WAYBACKHISTORY=ON


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