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This is VAERS ID 264209

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 264209
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2006-09-27
Onset:2006-09-27
Submitted:2006-10-02
Entered:2006-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. B229AA / 0 RA / IM
IPV: POLIO VIRUS, INACT. (IPOL) / AVENTIS PASTEUR, INC. Y1067 / 1 LA / IM
MMRV: MEASLES, MUMPS, RUBELLA, AND VARICELLA (PROQUAD) / MERCK & CO. INC. 0816F / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR, INC. AC52B002AA / 4 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Cellulitis, Injection site reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Cellulitis at injection site


Changed on 12/8/2009

VAERS ID: 264209 Before After
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2006-09-27
Onset:2006-09-27
Submitted:2006-10-02
Entered:2006-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. B229AA / 0 RA / IM
IPV: POLIO VIRUS, INACT. (IPOL) / AVENTIS PASTEUR, INC. AVENTIS PASTEUR Y1067 / 1 LA / IM
MMRV: MEASLES, MUMPS, RUBELLA, AND VARICELLA (PROQUAD) MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) / MERCK & CO. INC. 0816F / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR, INC. AVENTIS PASTEUR AC52B002AA / 4 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Cellulitis, Injection site reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Cellulitis at injection site


Changed on 5/14/2017

VAERS ID: 264209 Before After
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2006-09-27
Onset:2006-09-27
Submitted:2006-10-02
Entered:2006-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. B229AA / 0 RA / IM
IPV: POLIO VIRUS, INACT. (IPOL) / AVENTIS PASTEUR SANOFI PASTEUR Y1067 / 1 LA / IM
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) / MERCK & CO. INC. 0816F / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SANOFI PASTEUR AC52B002AA / 4 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Cellulitis, Injection site reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Cellulitis at injection site


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=264209&WAYBACKHISTORY=ON


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