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This is VAERS ID 291131

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 291131
VAERS Form:
Age:24.0
Gender:Female
Location:New Jersey
Vaccinated:2007-09-19
Onset:2007-09-19
Submitted:2007-09-20
Entered:2007-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV109 / 5 RA / -

Administered by: Military      Purchased by: Unknown
Symptoms: Erythema, Pruritus, Skin nodule, Allergy to vaccine

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: Depoprovera
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Sm described area as a /"red knot/" looks like a pimple and the area is /"itchy./" Received Gardasil on 9/10/07. Saw provider who stated this was a mild allergy. Benadryl to be taken.


Changed on 12/8/2009

VAERS ID: 291131 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:New Jersey
Vaccinated:2007-09-19
Onset:2007-09-19
Submitted:2007-09-20
Entered:2007-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV109 / 5 RA / -

Administered by: Military      Purchased by: Unknown Military
Symptoms: Erythema, Pruritus, Skin nodule, Allergy to vaccine

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: Depoprovera
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Sm described area as a /"red knot/" "red knot" looks like a pimple and the area is /"itchy./" "itchy." Received Gardasil on 9/10/07. Saw provider who stated this was a mild allergy. Benadryl to be taken.


Changed on 6/14/2014

VAERS ID: 291131 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:New Jersey
Vaccinated:2007-09-19
Onset:2007-09-19
Submitted:2007-09-20
Entered:2007-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV109 / 5 RA / -

Administered by: Military      Purchased by: Military
Symptoms: Erythema, Pruritus, Skin nodule, Allergy to vaccine

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: Depoprovera
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Sm described area as a "red knot" looks like a pimple and the area is "itchy." Received Gardasil on 9/10/07. Saw provider who stated this was a mild allergy. Benadryl to be taken.


Changed on 4/14/2017

VAERS ID: 291131 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:New Jersey
Vaccinated:2007-09-19
Onset:2007-09-19
Submitted:2007-09-20
Entered:2007-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV109 / 5 RA / -

Administered by: Military      Purchased by: Military
Symptoms: Erythema, Pruritus, Skin nodule, Allergy to vaccine

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: Depoprovera
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Sm described area as a "red knot" looks like a pimple and the area is "itchy." Received Gardasil on 9/10/07. Saw provider who stated this was a mild allergy. Benadryl to be taken.


Changed on 9/14/2017

VAERS ID: 291131 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Female
Location:New Jersey
Vaccinated:2007-09-19
Onset:2007-09-19
Submitted:2007-09-20
Entered:2007-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV109 / 5 6 RA / -

Administered by: Military      Purchased by: Military
Symptoms: Erythema, Pruritus, Skin nodule, Allergy to vaccine

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: Depoprovera
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Sm described area as a "red knot" looks like a pimple and the area is "itchy." Received Gardasil on 9/10/07. Saw provider who stated this was a mild allergy. Benadryl to be taken.


Changed on 2/14/2018

VAERS ID: 291131 Before After
VAERS Form:1
Age:24.0
Gender:Female
Location:New Jersey
Vaccinated:2007-09-19
Onset:2007-09-19
Submitted:2007-09-20
Entered:2007-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV109 / 6 RA / -

Administered by: Military      Purchased by: Military
Symptoms: Erythema, Pruritus, Skin nodule, Allergy to vaccine

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: Depoprovera
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Sm described area as a "red knot" looks like a pimple and the area is "itchy." Received Gardasil on 9/10/07. Saw provider who stated this was a mild allergy. Benadryl to be taken.


Changed on 6/14/2018

VAERS ID: 291131 Before After
VAERS Form:1
Age:24.0
Gender:Female
Location:New Jersey
Vaccinated:2007-09-19
Onset:2007-09-19
Submitted:2007-09-20
Entered:2007-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV109 / 6 RA / -

Administered by: Military      Purchased by: Military
Symptoms: Erythema, Pruritus, Skin nodule, Allergy to vaccine

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: Depoprovera
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Sm described area as a "red knot" looks like a pimple and the area is "itchy." Received Gardasil on 9/10/07. Saw provider who stated this was a mild allergy. Benadryl to be taken.


Changed on 8/14/2018

VAERS ID: 291131 Before After
VAERS Form:1
Age:24.0
Gender:Female
Location:New Jersey
Vaccinated:2007-09-19
Onset:2007-09-19
Submitted:2007-09-20
Entered:2007-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV109 / 6 RA / -

Administered by: Military      Purchased by: Military
Symptoms: Erythema, Pruritus, Skin nodule, Allergy to vaccine

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: Depoprovera
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Sm described area as a "red knot" looks like a pimple and the area is "itchy." Received Gardasil on 9/10/07. Saw provider who stated this was a mild allergy. Benadryl to be taken.


Changed on 9/14/2018

VAERS ID: 291131 Before After
VAERS Form:1
Age:24.0
Gender:Female
Location:New Jersey
Vaccinated:2007-09-19
Onset:2007-09-19
Submitted:2007-09-20
Entered:2007-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV109 / 6 RA / -

Administered by: Military      Purchased by: Military
Symptoms: Erythema, Pruritus, Skin nodule, Allergy to vaccine

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: Depoprovera
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Sm described area as a "red knot" looks like a pimple and the area is "itchy." Received Gardasil on 9/10/07. Saw provider who stated this was a mild allergy. Benadryl to be taken.

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