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This is VAERS ID 266592

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 266592
Age:11.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-31
Onset:2006-11-01
Submitted:2006-11-06
Entered:2006-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) / AVENTIS PASTEUR, INC. U2199AA / 4 RA / IM
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE AC52B011CA / 5 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Rash, Rash papular

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

Write-up:Fine red, papular, pruritic rash on 1st and 2nd digits both hands and dorsum both feet.


Changed on 12/8/2009

VAERS ID: 266592 Before After
Age:11.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-31
Onset:2006-11-01
Submitted:2006-11-06
Entered:2006-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR, INC. AVENTIS PASTEUR U2199AA / 4 RA / IM
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE GLAXOSMITHKLINE BIOLOGICALS AC52B011CA / 5 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Erythema, Rash, Rash papular

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

Write-up:Fine red, papular, pruritic rash on 1st and 2nd digits both hands and dorsum both feet.


Changed on 7/7/2013

VAERS ID: 266592 Before After
Age:11.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-31
Onset:2006-11-01
Submitted:2006-11-06
Entered:2006-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U2199AA / 4 RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U2199AA / 4 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B011CA / 5 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Rash, Rash papular

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

Write-up:Fine red, papular, pruritic rash on 1st and 2nd digits both hands and dorsum both feet.


Changed on 5/14/2017

VAERS ID: 266592 Before After
Age:11.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-31
Onset:2006-11-01
Submitted:2006-11-06
Entered:2006-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR SANOFI PASTEUR U2199AA / 4 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B011CA / 5 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Rash, Rash papular, Rash pruritic

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

Write-up:Fine red, papular, pruritic rash on 1st and 2nd digits both hands and dorsum both feet.


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