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This is VAERS ID 283840

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

283840
VAERS Form:
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
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: B complex tabs, Yasmin, Lactaid, Topicort
Current Illness: None
Preexisting Conditions: Lactose intolerance, environmental allergen, Xerosis
Allergies:
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

283840 Before After
VAERS Form:
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
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: B complex tabs, Yasmin, Lactaid, Topicort
Current Illness: None
Preexisting Conditions: Lactose intolerance, environmental allergen, Xerosis
Allergies:
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 9/14/2017

283840 Before After
VAERS Form:(blank) 1
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 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Rash, Skin warm, Swelling face, 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: B complex tabs, Yasmin, Lactaid, Topicort
Current Illness: None
Preexisting Conditions: Lactose intolerance, environmental allergen, Xerosis
Allergies:
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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