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This is VAERS ID 283979

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283979
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Lip swelling, Pruritus, Vaccine positive rechallenge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03066

Write-up:Information has been received from a physician concerning a female who was vaccinated with the first dose of Gardasil. Subsequently the patient experienced some itching with the first dose, but with the second dose she experienced more severe itching and the her lips began to swell. Subsequently, the patient recovered. The physician indicated that he was planning to vaccinate the patient with the third dose, but planned to have an EPI pen with him just in case the patient had an anaphylactic reaction. Additional information has been requested.


Changed on 9/14/2017

283979 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Lip swelling, Pruritus, Vaccine positive rechallenge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03066

Write-up:Information has been received from a physician concerning a female who was vaccinated with the first dose of Gardasil. Subsequently the patient experienced some itching with the first dose, but with the second dose she experienced more severe itching and the her lips began to swell. Subsequently, the patient recovered. The physician indicated that he was planning to vaccinate the patient with the third dose, but planned to have an EPI pen with him just in case the patient had an anaphylactic reaction. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283979&WAYBACKHISTORY=ON


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