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This is VAERS ID 284343

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284343
Age:21.0
Gender:Female
Location:New Hampshire
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-11
Entered:2007-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Alg: Soy, Miralax
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:w/in 2 days pt developed small, red, itchy, raised rash to both arms.


Changed on 12/8/2009

VAERS ID: 284343 Before After
Age:21.0
Gender:Female
Location:New Hampshire
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-11
Entered:2007-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Erythema, Pruritus, Rash

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Alg: Soy, Miralax
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:w/in 2 days pt developed small, red, itchy, raised rash to both arms.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284343&WAYBACKHISTORY=ON


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