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This is VAERS ID 282965

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282965
VAERS Form:
Age:25.0
Gender:Female
Location:New York
Vaccinated:2007-04-02
Onset:2007-04-02
Submitted:0000-00-00
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / - LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Asthma, 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: Paxil, Zyrtec, Singular
Current Illness: Asthma
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Hives on legs, asthma started bothering pt


Changed on 9/14/2017

282965 Before After
VAERS Form:(blank) 1
Age:25.0
Gender:Female
Location:New York
Vaccinated:2007-04-02
Onset:2007-04-02
Submitted:0000-00-00
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / - UNK LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Asthma, 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: Paxil, Zyrtec, Singular
Current Illness: Asthma
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Hives on legs, asthma started bothering pt


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282965&WAYBACKHISTORY=ON


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