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This is VAERS ID 282665

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282665
VAERS Form:
Age:22.0
Gender:Female
Location:New York
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-18
Entered:2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site rash, No reaction on previous exposure to drug

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: Yasmin 28
Current Illness: None
Preexisting Conditions: Penicillin
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Pt developed red unraised rash immediately after vaccine was given on her left deltoid. Rash completely resolved after 10 min. No reaction after first dose. Tested other arm for sensitivity to alcohol without reaction.


Changed on 9/14/2017

VAERS ID: 282665 Before After
VAERS Form:(blank) 1
Age:22.0
Gender:Female
Location:New York
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-18
Entered:2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 1 2 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site rash, No reaction on previous exposure to drug

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: Yasmin 28
Current Illness: None
Preexisting Conditions: Penicillin
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Pt developed red unraised rash immediately after vaccine was given on her left deltoid. Rash completely resolved after 10 min. No reaction after first dose. Tested other arm for sensitivity to alcohol without reaction.


Changed on 2/14/2018

VAERS ID: 282665 Before After
VAERS Form:1
Age:22.0
Gender:Female
Location:New York
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-18
Entered:2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 2 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site rash, No reaction on previous exposure to drug

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: Yasmin 28
Current Illness: None
Preexisting Conditions: Penicillin
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Pt developed red unraised rash immediately after vaccine was given on her left deltoid. Rash completely resolved after 10 min. No reaction after first dose. Tested other arm for sensitivity to alcohol without reaction.


Changed on 6/14/2018

VAERS ID: 282665 Before After
VAERS Form:1
Age:22.0
Gender:Female
Location:New York
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-18
Entered:2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 2 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site rash, No reaction on previous exposure to drug

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: Yasmin 28
Current Illness: None
Preexisting Conditions: Penicillin
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Pt developed red unraised rash immediately after vaccine was given on her left deltoid. Rash completely resolved after 10 min. No reaction after first dose. Tested other arm for sensitivity to alcohol without reaction.

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