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This is VAERS ID 283840

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 283840
Age:23.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-27
Onset:2007-06-27
Submitted:2007-06-28
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Rash, Skin warm, Swelling face, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: B complex tabs, Yasmin, Lactaid, Topicort
Current Illness: None
Preexisting Conditions: Lactose intolerance, environmental allergen, Xerosis
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Warmth, swelling, rash of face within minutes of receiving HPV vaccine. Reported there signs and symptoms about 2 hours later. Appearance at time of RX facial redness, swelling, urticaria. Treated with Benadryl PO, Prednisone PO, ranitidine PO.


Changed on 12/8/2009

VAERS ID: 283840 Before After
Age:23.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-27
Onset:2007-06-27
Submitted:2007-06-28
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Erythema, Rash, Skin warm, Swelling face, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: B complex tabs, Yasmin, Lactaid, Topicort
Current Illness: None
Preexisting Conditions: Lactose intolerance, environmental allergen, Xerosis
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Warmth, swelling, rash of face within minutes of receiving HPV vaccine. Reported there signs and symptoms about 2 hours later. Appearance at time of RX facial redness, swelling, urticaria. Treated with Benadryl PO, Prednisone PO, ranitidine PO.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283840&WAYBACKHISTORY=ON


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