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This is VAERS ID 283800

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283800
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-03-27
Onset:2007-03-29
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Urticaria

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: None
CDC 'Split Type': WAES0705USA01953

Write-up:Information has been received from a registered nurse concerning a female (age not reported) who on 27-MAR-2007 was vaccinated intramuscularly with a 0.5 mL dose of Gardasil. On 29-MAR-2007 (2 days after vaccination) the patient developed hives on her chest, back and upper extremities. The patient sought unspecified medical attention. The registered nurse reported that the patient had used a tanning bed earlier on the same day as the reaction. On an unspecified date, the patient recovered. There was no product quality complaint involved. No further information is available.


Changed on 9/14/2017

283800 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-03-27
Onset:2007-03-29
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Urticaria

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: None
CDC 'Split Type': WAES0705USA01953

Write-up:Information has been received from a registered nurse concerning a female (age not reported) who on 27-MAR-2007 was vaccinated intramuscularly with a 0.5 mL dose of Gardasil. On 29-MAR-2007 (2 days after vaccination) the patient developed hives on her chest, back and upper extremities. The patient sought unspecified medical attention. The registered nurse reported that the patient had used a tanning bed earlier on the same day as the reaction. On an unspecified date, the patient recovered. There was no product quality complaint involved. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283800&WAYBACKHISTORY=ON


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