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This is VAERS ID 284900

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284900
Age:13.0
Gender:Female
Location:West Virginia
Vaccinated:2007-05-29
Onset:2007-05-30
Submitted:2007-07-06
Entered:2007-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Epstein-Barr virus infection, Rash generalised, Rash pruritic, Epstein-Barr virus antibody negative

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Eye pain; Fatigue; Upper respiratory tract infection; Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: Epstein-Barr virus - convalescencing
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 13 year old female with penicillin allergy who on 29-MAY-2007 was vaccinated IM with 0.5 ml of the first dose of Gardasil (Lot #654702/0011U). There was no concomitant medication. On 30-MAY-2007"the patient experienced an all over body rash with itching. Prior to the injection, the patient complained of her eyes hurting, an upper respiratory infection, and fatigue. The patient did not have a fever. The physician performed an Epstein-Barr titer th


Changed on 12/8/2009

VAERS ID: 284900 Before After
Age:13.0
Gender:Female
Location:West Virginia
Vaccinated:2007-05-29
Onset:2007-05-30
Submitted:2007-07-06
Entered:2007-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Epstein-Barr virus infection, Rash generalised, Rash pruritic, Epstein-Barr virus antibody negative

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Eye pain; Fatigue; Upper respiratory tract infection; Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: Epstein-Barr virus - convalescencing
CDC 'Split Type': (blank) WAES0706USA00208

Write-up:Information has been received from a physician concerning a 13 year old female with penicillin allergy who on 29-MAY-2007 was vaccinated IM with 0.5 ml of the first dose of Gardasil (Lot #654702/0011U). There was no concomitant medication. On 30-MAY-2007"the 30-MAY-2007 the patient experienced an all over body rash with itching. Prior to the injection, the patient complained of her eyes hurting, an upper respiratory infection, and fatigue. The patient did not have a fever. The physician performed an Epstein-Barr titer th that came back with a result of "convalescencing". The patient was given Depo-Medrol on 30-MAY-2007 and Garamycin ointment for her eye. As of 01-JUN-2007, the patient was recovering. Medical attention was sought. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284900&WAYBACKHISTORY=ON


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