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This is VAERS ID 283978

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 283978
Age:18.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-04-01
Onset:2007-04-01
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: Other      Purchased by: Other
Symptoms: Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03012

Write-up:Information has been received from a registered nurse concerning a female under 18 years old who in approximately April 2007 was vaccinated with the first dose of Gardasil. Subsequently the patient experienced a rash on her complete torso. The patient was prescribed an unknown cream as treatment. The rash did not resolve by 5 days but may have resolved by now. Medical attention was sought. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 283978 Before After
Age:18.0 15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-04-01
Onset:2007-04-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN RA / UN IM

Administered by: Other      Purchased by: Other
Symptoms: Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Penicillin allergy: Allergic reaction to antibiotics
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03012

Write-up:Information has been received from a registered nurse concerning a female under 18 years old who in approximately April 2007 was vaccinated with the first dose of Gardasil. Subsequently the patient experienced a rash on her complete torso. The patient was prescribed an unknown cream as treatment. The rash did not resolve by 5 days but may have resolved by now. Medical attention was sought. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 15 year old female student with PENICILLIN, AMOXICILLIN and CECLOR allergies who on 19-APR-2007 at 16:23 was vaccinated intramuscularly into the right deltoid with the first dose of GARDASIL (Lot # 654702/0011U). On 22-APR-2007, the patient felt "cold and achy" which persisted until the p.m. of 23-APR-2007 when itchiness and a rash on her complete torso, knees and back of hands developed. The patient was prescribed CLARINEX and LOTRISONE cream as treatment. The rash did not resolve by 5 days. The patient''s mom called on 01-MAY-2007 and reported that the symptoms persisted. No further information had been received since then. Additional information is not expected.


Changed on 4/7/2010

VAERS ID: 283978 Before After
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-04-01
Onset:2007-04-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Feeling cold, Pain, Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Penicillin allergy: Allergic reaction to antibiotics
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03012

Write-up:Information has been received from a registered nurse concerning a female under 18 years old who in approximately April 2007 was vaccinated with the first dose of Gardasil. Subsequently the patient experienced a rash on her complete torso. The patient was prescribed an unknown cream as treatment. The rash did not resolve by 5 days but may have resolved by now. Medical attention was sought. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 15 year old female student with PENICILLIN, AMOXICILLIN and CECLOR allergies who on 19-APR-2007 at 16:23 was vaccinated intramuscularly into the right deltoid with the first dose of GARDASIL (Lot # 654702/0011U). On 22-APR-2007, the patient felt "cold and achy" which persisted until the p.m. of 23-APR-2007 when itchiness and a rash on her complete torso, knees and back of hands developed. The patient was prescribed CLARINEX and LOTRISONE cream as treatment. The rash did not resolve by 5 days. The patient''s mom called on 01-MAY-2007 and reported that the symptoms persisted. No further information had been received since then. Additional information is not expected.


Changed on 1/4/2011

VAERS ID: 283978 Before After
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-04-01
Onset:2007-04-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Feeling cold, Pain, Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Penicillin allergy: Allergic reaction to antibiotics
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03012

Write-up:Information has been received from a registered nurse concerning a female under 18 years old who in approximately April 2007 was vaccinated with the first dose of Gardasil. Subsequently the patient experienced a rash on her complete torso. The patient was prescribed an unknown cream as treatment. The rash did not resolve by 5 days but may have resolved by now. Medical attention was sought. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 15 year old female student with PENICILLIN, AMOXICILLIN and CECLOR allergies who on 19-APR-2007 at 16:23 was vaccinated intramuscularly into the right deltoid with the first dose of GARDASIL (Lot # 654702/0011U). On 22-APR-2007, the patient felt "cold and achy" which persisted until the p.m. of 23-APR-2007 when itchiness and a rash on her complete torso, knees and back of hands developed. The patient was prescribed CLARINEX and LOTRISONE cream as treatment. The rash did not resolve by 5 days. The patient''s mom called on 01-MAY-2007 and reported that the symptoms persisted. No further information had been received since then. Additional information is not expected.


Changed on 4/13/2011

VAERS ID: 283978 Before After
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-04-01
Onset:2007-04-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Feeling cold, Pain, Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Penicillin allergy: Allergic reaction to antibiotics
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03012

Write-up:Information has been received from a registered nurse concerning a female under 18 years old who in approximately April 2007 was vaccinated with the first dose of Gardasil. Subsequently the patient experienced a rash on her complete torso. The patient was prescribed an unknown cream as treatment. The rash did not resolve by 5 days but may have resolved by now. Medical attention was sought. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 15 year old female student with PENICILLIN, AMOXICILLIN and CECLOR allergies who on 19-APR-2007 at 16:23 was vaccinated intramuscularly into the right deltoid with the first dose of GARDASIL (Lot # 654702/0011U). On 22-APR-2007, the patient felt "cold and achy" which persisted until the p.m. of 23-APR-2007 when itchiness and a rash on her complete torso, knees and back of hands developed. The patient was prescribed CLARINEX and LOTRISONE cream as treatment. The rash did not resolve by 5 days. The patient''s mom called on 01-MAY-2007 and reported that the symptoms persisted. No further information had been received since then. Additional information is not expected.


Changed on 5/13/2011

VAERS ID: 283978 Before After
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-04-01
Onset:2007-04-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Feeling cold, Pain, Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Penicillin allergy: Allergic reaction to antibiotics
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03012

Write-up:Information has been received from a registered nurse concerning a female under 18 years old who in approximately April 2007 was vaccinated with the first dose of Gardasil. Subsequently the patient experienced a rash on her complete torso. The patient was prescribed an unknown cream as treatment. The rash did not resolve by 5 days but may have resolved by now. Medical attention was sought. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 15 year old female student with PENICILLIN, AMOXICILLIN and CECLOR allergies who on 19-APR-2007 at 16:23 was vaccinated intramuscularly into the right deltoid with the first dose of GARDASIL (Lot # 654702/0011U). On 22-APR-2007, the patient felt "cold and achy" which persisted until the p.m. of 23-APR-2007 when itchiness and a rash on her complete torso, knees and back of hands developed. The patient was prescribed CLARINEX and LOTRISONE cream as treatment. The rash did not resolve by 5 days. The patient''s mom called on 01-MAY-2007 and reported that the symptoms persisted. No further information had been received since then. Additional information is not expected.


Changed on 6/11/2011

VAERS ID: 283978 Before After
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-04-01
Onset:2007-04-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Feeling cold, Pain, Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Penicillin allergy: Allergic reaction to antibiotics
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03012

Write-up:Information has been received from a registered nurse concerning a female under 18 years old who in approximately April 2007 was vaccinated with the first dose of Gardasil. Subsequently the patient experienced a rash on her complete torso. The patient was prescribed an unknown cream as treatment. The rash did not resolve by 5 days but may have resolved by now. Medical attention was sought. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 15 year old female student with PENICILLIN, AMOXICILLIN and CECLOR allergies who on 19-APR-2007 at 16:23 was vaccinated intramuscularly into the right deltoid with the first dose of GARDASIL (Lot # 654702/0011U). On 22-APR-2007, the patient felt "cold and achy" which persisted until the p.m. of 23-APR-2007 when itchiness and a rash on her complete torso, knees and back of hands developed. The patient was prescribed CLARINEX and LOTRISONE cream as treatment. The rash did not resolve by 5 days. The patient''s mom called on 01-MAY-2007 and reported that the symptoms persisted. No further information had been received since then. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 283978 Before After
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-04-01
Onset:2007-04-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Feeling cold, Pain, Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Penicillin allergy: Allergic reaction to antibiotics
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03012

Write-up:Information has been received from a registered nurse concerning a female under 18 years old who in approximately April 2007 was vaccinated with the first dose of Gardasil. Subsequently the patient experienced a rash on her complete torso. The patient was prescribed an unknown cream as treatment. The rash did not resolve by 5 days but may have resolved by now. Medical attention was sought. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 15 year old female student with PENICILLIN, AMOXICILLIN and CECLOR allergies who on 19-APR-2007 at 16:23 was vaccinated intramuscularly into the right deltoid with the first dose of GARDASIL (Lot # 654702/0011U). On 22-APR-2007, the patient felt "cold and achy" which persisted until the p.m. of 23-APR-2007 when itchiness and a rash on her complete torso, knees and back of hands developed. The patient was prescribed CLARINEX and LOTRISONE cream as treatment. The rash did not resolve by 5 days. The patient''s mom called on 01-MAY-2007 and reported that the symptoms persisted. No further information had been received since then. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 283978 Before After
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-04-01
Onset:2007-04-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Feeling cold, Pain, Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Penicillin allergy: Allergic reaction to antibiotics
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03012

Write-up:Information has been received from a registered nurse concerning a female under 18 years old who in approximately April 2007 was vaccinated with the first dose of Gardasil. Subsequently the patient experienced a rash on her complete torso. The patient was prescribed an unknown cream as treatment. The rash did not resolve by 5 days but may have resolved by now. Medical attention was sought. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 15 year old female student with PENICILLIN, AMOXICILLIN and CECLOR allergies who on 19-APR-2007 at 16:23 was vaccinated intramuscularly into the right deltoid with the first dose of GARDASIL (Lot # 654702/0011U). On 22-APR-2007, the patient felt "cold and achy" which persisted until the p.m. of 23-APR-2007 when itchiness and a rash on her complete torso, knees and back of hands developed. The patient was prescribed CLARINEX and LOTRISONE cream as treatment. The rash did not resolve by 5 days. The patient''s mom called on 01-MAY-2007 and reported that the symptoms persisted. No further information had been received since then. Additional information is not expected.


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