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| History of Changes from the VAERS Wayback Machine |
First Appeared on 12/30/2006 | ||
| VAERS ID: | 264556 |
| Age: | 16.0 |
| Gender: | Female |
| Location: | Indiana |
| Vaccinated: | 2006-10-05 |
| Onset: | 2006-10-05 |
| Submitted: | 2006-10-13 |
| Entered: | 2006-10-16 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| FLU: INFLUENZA (FLUZONE) / AVENTIS PASTEUR, INC. | U2239AA / 1 | LA / - |
| HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. | 0223F / 1 | LA / - |
| HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. | 0955F / 0 | RA / - |
Administered by: Private Purchased by: Unknown
Symptoms: Injection site pain
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:
Diagnostic Lab Data: NONE
CDC 'Split Type':
Write-up:Pain in right upper arm from time of administration of vaccine and continuing 8 days.
| Vaccinated: | 2006-10-05 |
| Onset: | 2006-10-05 |
| Submitted: | 2006-10-13 |
| Entered: | 2006-10-16 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| FLU: INFLUENZA (FLUZONE) INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR, INC. AVENTIS PASTEUR | U2239AA / 1 | LA / - |
| HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. | 0223F / 1 | LA / - |
| HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. | 0955F / 0 | RA / - |
Administered by: Private Purchased by: Unknown Private
Symptoms: Injection site pain
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:
Diagnostic Lab Data: NONE
CDC 'Split Type':
Write-up:Pain in right upper arm from time of administration of vaccine and continuing 8 days.
| Vaccinated: | 2006-10-05 |
| Onset: | 2006-10-05 |
| Submitted: | 2006-10-13 |
| Entered: | 2006-10-16 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| FLU: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR | U2239AA / 1 | LA / - |
| FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR | U2239AA / 1 | LA / - |
| HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. | 0223F / 1 | LA / - |
| HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0955F / 0 | RA / - |
Administered by: Private Purchased by: Private
Symptoms: Injection site pain
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:
Diagnostic Lab Data: NONE
CDC 'Split Type':
Write-up:Pain in right upper arm from time of administration of vaccine and continuing 8 days.
| Vaccinated: | 2006-10-05 |
| Onset: | 2006-10-05 |
| Submitted: | 2006-10-13 |
| Entered: | 2006-10-16 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR SANOFI PASTEUR | U2239AA / 1 | LA / - |
| HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. | 0223F / 1 | LA / - |
| HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0955F / 0 | RA / - |
Administered by: Private Purchased by: Private
Symptoms: Injection site pain
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:
Diagnostic Lab Data: NONE
CDC 'Split Type':
Write-up:Pain in right upper arm from time of administration of vaccine and continuing 8 days.
Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=264556&WAYBACKHISTORY=ON
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