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This is VAERS ID 284473

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

284473
VAERS Form:
Age:22.0
Gender:Female
Location:California
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. - / - UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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': WAES0705USA04385

Write-up:Information has been received from a nurse concerning a 22 year old female who was vaccinated with her first dose of Gardasil. Subsequently the patient developed little bumps all over her body for a few days after the vaccination. The outcome was not reported. Additional information is not expected.


Changed on 9/14/2017

284473 Before After
VAERS Form:(blank) 1
Age:22.0
Gender:Female
Location:California
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. - / - UNK UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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': WAES0705USA04385

Write-up:Information has been received from a nurse concerning a 22 year old female who was vaccinated with her first dose of Gardasil. Subsequently the patient developed little bumps all over her body for a few days after the vaccination. The outcome was not reported. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284473&WAYBACKHISTORY=ON


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