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This is VAERS ID 264556

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.


Changed on 12/8/2009

VAERS ID: 264556 Before After
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) 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.


Changed on 7/7/2013

VAERS ID: 264556 Before After
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 (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.


Changed on 5/14/2017

VAERS ID: 264556 Before After
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
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.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=264556&WAYBACKHISTORY=ON


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