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This is VAERS ID 270086

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270086
VAERS Form:
Age:18.0
Gender:Female
Location:California
Vaccinated:2007-01-03
Onset:2007-01-03
Submitted:2007-01-04
Entered:2007-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2638AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site oedema, Injection site warmth

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Warm to touch with slight elevation at injection site to LT deltoid.


Changed on 12/8/2009

270086 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:California
Vaccinated:2007-01-03
Onset:2007-01-03
Submitted:2007-01-04
Entered:2007-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2638AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Injection site oedema, Injection site warmth

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Warm to touch with slight elevation at injection site to LT deltoid.


Changed on 5/14/2017

270086 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:California
Vaccinated:2007-01-03
Onset:2007-01-03
Submitted:2007-01-04
Entered:2007-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SANOFI PASTEUR C2638AA / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Injection site oedema, Injection site warmth

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Warm to touch with slight elevation at injection site to LT deltoid.


Changed on 9/14/2017

270086 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:California
Vaccinated:2007-01-03
Onset:2007-01-03
Submitted:2007-01-04
Entered:2007-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2638AA / 0 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Injection site oedema, Injection site warmth

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Warm to touch with slight elevation at injection site to LT deltoid.


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