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This is VAERS ID 411090

History of Changes from the VAERS Wayback Machine

First Appeared on 12/7/2010

411090
VAERS Form:
Age:24.0
Gender:Female
Location:Missouri
Vaccinated:2010-11-16
Onset:2010-11-30
Submitted:2010-12-02
Entered:2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 LA / IJ

Administered by: Private      Purchased by: Other
Symptoms: Herpes zoster, Pain, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mono Nessa (Birth Control) and Pre Natal Vitamins
Current Illness: None
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: Saw doctor at Urgent Care and he diagnosed Shingles.
CDC 'Split Type': Gardasil2ndof3shots

Write-up:Noticed pain and Rash on back. Went to Dr. at 6pm on 12/1/2010 and was diagnosed with Shingles. I am being treated with Valtrex twice a day for 5 days.


Changed on 6/14/2014

411090 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Missouri
Vaccinated:2010-11-16
Onset:2010-11-30
Submitted:2010-12-02
Entered:2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 LA / IJ

Administered by: Private      Purchased by: Other
Symptoms: Herpes zoster, Pain, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mono Nessa (Birth Control) and Pre Natal Vitamins
Current Illness: None
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: Saw doctor at Urgent Care and he diagnosed Shingles.
CDC 'Split Type': Gardasil2ndof3shots

Write-up:Noticed pain and Rash on back. Went to Dr. at 6pm on 12/1/2010 and was diagnosed with Shingles. I am being treated with Valtrex twice a day for 5 days.


Changed on 4/14/2017

411090 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Missouri
Vaccinated:2010-11-16
Onset:2010-11-30
Submitted:2010-12-02
Entered:2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 LA / IJ

Administered by: Private      Purchased by: Other
Symptoms: Herpes zoster, Pain, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mono Nessa (Birth Control) and Pre Natal Vitamins
Current Illness: None
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: Saw doctor at Urgent Care and he diagnosed Shingles.
CDC 'Split Type': Gardasil2ndof3shots

Write-up:Noticed pain and Rash on back. Went to Dr. at 6pm on 12/1/2010 and was diagnosed with Shingles. I am being treated with Valtrex twice a day for 5 days.


Changed on 9/14/2017

411090 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Female
Location:Missouri
Vaccinated:2010-11-16
Onset:2010-11-30
Submitted:2010-12-02
Entered:2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 3 LA / IJ

Administered by: Private      Purchased by: Other
Symptoms: Herpes zoster, Pain, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mono Nessa (Birth Control) and Pre Natal Vitamins
Current Illness: None
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: Saw doctor at Urgent Care and he diagnosed Shingles.
CDC 'Split Type': Gardasil2ndof3shots

Write-up:Noticed pain and Rash on back. Went to Dr. at 6pm on 12/1/2010 and was diagnosed with Shingles. I am being treated with Valtrex twice a day for 5 days.


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