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This is VAERS ID 283743

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283743
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-05-01
Onset:2007-05-02
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Erythema, Rash, Swelling face

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAWES0705USA00541

Write-up:Information has been received from a registered nurse concerning a female who on 01-MAY-2007 was vaccinated with a dose of Gardasil (lot # not provided). It was unknown if the dose was a first dose or if a previous dose had been given. The morning after vaccination, on 02-MAY-2007, the patient woke up with a swollen face and red spots on her legs. The patient sought unspecified medical attention. The Patient''s swollen face and red spots on her legs persisted. Additional information has been requested.


Changed on 9/14/2017

283743 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-05-01
Onset:2007-05-02
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Erythema, Rash, Swelling face

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAWES0705USA00541

Write-up:Information has been received from a registered nurse concerning a female who on 01-MAY-2007 was vaccinated with a dose of Gardasil (lot # not provided). It was unknown if the dose was a first dose or if a previous dose had been given. The morning after vaccination, on 02-MAY-2007, the patient woke up with a swollen face and red spots on her legs. The patient sought unspecified medical attention. The Patient''s swollen face and red spots on her legs persisted. Additional information has been requested.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283743&WAYBACKHISTORY=ON


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