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This is VAERS ID 283769

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283769
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Feeling hot, Injection site rash, Vaccine positive rechallenge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES0705USA01146

Write-up:Information has been received from a health professional concerning a female who was vaccinated, intramuscularly in the arm, with Gardasil. Subsequently, the patient developed a site rash and experienced a warm feeling throughout her body approximately a half hour after receiving the second vaccination. The patient experienced a similar reaction after the first vaccination. Subsequently, the patient recovered. Additional information has been requested.


Changed on 9/14/2017

283769 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Feeling hot, Injection site rash, Vaccine positive rechallenge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES0705USA01146

Write-up:Information has been received from a health professional concerning a female who was vaccinated, intramuscularly in the arm, with Gardasil. Subsequently, the patient developed a site rash and experienced a warm feeling throughout her body approximately a half hour after receiving the second vaccination. The patient experienced a similar reaction after the first vaccination. Subsequently, the patient recovered. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283769&WAYBACKHISTORY=ON


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