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This is VAERS ID 284344

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284344
VAERS Form:
Age:16.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-20
Onset:2007-06-21
Submitted:2007-07-11
Entered:2007-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: 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: Lo Estren
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt developed hives over all her body requiring steroids and Benadryl went to PCP and allergist required high dose steroids.


Changed on 9/14/2017

284344 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-20
Onset:2007-06-21
Submitted:2007-07-11
Entered:2007-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 0 1 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: 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: Lo Estren
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt developed hives over all her body requiring steroids and Benadryl went to PCP and allergist required high dose steroids.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284344&WAYBACKHISTORY=ON


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