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This is VAERS ID 283796

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 283796
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-01
Onset:2007-05-05
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA01804

Write-up:Information has been received from a nurse practitioner concerning a 19 year old female with no pertinent medical history or a history of drug reactions or allergies who on 01-MAY-2007 was vaccinated with her first dose of Gardasil, 0.5 ml, IM, left deltoid. There was no concomitant medication. On 05-MAY-2007 the patient developed hives. The patient was instructed to take diphenhydramine (BENADRYL). No laboratory tests were done. As of 08-MAY-2007, the patient was recovering. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 283796 Before After
Age:19.0
Gender:Female
Location:Unknown Florida
Vaccinated:2007-05-01
Onset:2007-05-05
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA01804

Write-up:Information has been received from a nurse practitioner concerning a 19 year old female with no pertinent medical history or a history of drug reactions or allergies who on 01-MAY-2007 was vaccinated with her first dose of Gardasil, 0.5 ml, IM, left deltoid. There was no concomitant medication. On 05-MAY-2007 the patient developed hives. The patient was instructed to take diphenhydramine (BENADRYL). No laboratory tests were done. As of 08-MAY-2007, the patient was recovering. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 283796 Before After
Age:19.0
Gender:Female
Location:Florida
Vaccinated:2007-05-01
Onset:2007-05-05
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA01804

Write-up:Information has been received from a nurse practitioner concerning a 19 year old female with no pertinent medical history or a history of drug reactions or allergies who on 01-MAY-2007 was vaccinated with her first dose of Gardasil, 0.5 ml, IM, left deltoid. There was no concomitant medication. On 05-MAY-2007 the patient developed hives. The patient was instructed to take diphenhydramine (BENADRYL). No laboratory tests were done. As of 08-MAY-2007, the patient was recovering. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 283796 Before After
Age:19.0
Gender:Female
Location:Florida
Vaccinated:2007-05-01
Onset:2007-05-05
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA01804

Write-up:Information has been received from a nurse practitioner concerning a 19 year old female with no pertinent medical history or a history of drug reactions or allergies who on 01-MAY-2007 was vaccinated with her first dose of Gardasil, 0.5 ml, IM, left deltoid. There was no concomitant medication. On 05-MAY-2007 the patient developed hives. The patient was instructed to take diphenhydramine (BENADRYL). No laboratory tests were done. As of 08-MAY-2007, the patient was recovering. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283796&WAYBACKHISTORY=ON


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