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This is VAERS ID 283773

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283773
VAERS Form:
Age:15.0
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. - / 0 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash generalised

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: Hepatitis B virus vaccine
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01218

Write-up:Information has been received from a nurse practitioner concerning a female in her "mid teens" who, on an unspecified date, was vaccinated with Gardasil. Concomitant therapy included hepatitis B virus vaccine (unspecified). Subsequently the patient developed a rash all over her body. The patient went to the emergency room but hospitalization is unspecified. Subsequently, the patient recovered from the rash all over her body. Additional information has been requested. The product quality complaint unit was not involved.


Changed on 9/14/2017

283773 Before After
VAERS Form:(blank) 1
Age:15.0
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. - / 0 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash generalised

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: Hepatitis B virus vaccine
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01218

Write-up:Information has been received from a nurse practitioner concerning a female in her "mid teens" who, on an unspecified date, was vaccinated with Gardasil. Concomitant therapy included hepatitis B virus vaccine (unspecified). Subsequently the patient developed a rash all over her body. The patient went to the emergency room but hospitalization is unspecified. Subsequently, the patient recovered from the rash all over her body. Additional information has been requested. The product quality complaint unit was not involved.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283773&WAYBACKHISTORY=ON


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