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This is VAERS ID 283732

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 283732
Age:20.0
Gender:Female
Location:New York
Vaccinated:2007-03-08
Onset:2007-03-10
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / 0 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Sulfonamide allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a registered nurse in a physician''''s office concerning a 20 year old patient with an allergy to sulfamethoxazole (+) trimethoprim who on 08-MAR-2007 was vaccinated with a first dose of Gardasil (lot # 655618/0186U) in th"e left deltoid at 11:00 AM. The nurse reported that the patient had received the second dose late (second dose was given on /"01-OCT-2007/"). No adverse experience is related to this event. No other information was available at the time of reporting. Addi


Changed on 12/8/2009

VAERS ID: 283732 Before After
Age:20.0
Gender:Female
Location:New York
Vaccinated:2007-03-08
Onset:2007-03-10
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0186U / 0 LA / UN

Administered by: Private      Purchased by: Unknown Private
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Sulfonamide allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA03940

Write-up:Information has been received from a registered nurse in a physician''''s physician''s office concerning a 20 year old patient with an allergy to sulfamethoxazole (+) trimethoprim who on 08-MAR-2007 was vaccinated with a first dose of Gardasil (lot # 655618/0186U) in th"e the left deltoid at 11:00 AM. The nurse reported that the patient had received the second dose late (second dose was given on /"01-OCT-2007/"). "01-OCT-2007"). No adverse experience is related to this event. No other information was available at the time of reporting. Addi Additional information was received. Conflicting information was received regarding the number of doses of vaccine that the patient had received. The reporter indicated that this was the first dose of vaccine. On 10-MAR-2007, the patient experienced hives. On an unspecified date, the patient recovered. The reporter felt that the hives were serious medical intervention was required (Other Important Medical Event). No additional information is expected.


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