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This is VAERS ID 270365

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 270365
Age:14.0
Gender:Female
Location:New York
Vaccinated:2006-11-27
Onset:2006-11-28
Submitted:2007-01-10
Entered:2007-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB141AA / 0 - / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 09546 / 0 - / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U1932AB / 0 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1052F / 1 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Feeling hot, Tenderness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
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:Right deltoid erythematous, warm and tender.


Changed on 12/8/2009

VAERS ID: 270365 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2006-11-27
Onset:2006-11-28
Submitted:2007-01-10
Entered:2007-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB141AA / 0 - / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 09546 / 0 - / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U1932AB / 0 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1052F / 1 - / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Erythema, Feeling hot, Tenderness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
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:Right deltoid erythematous, warm and tender.


Changed on 4/7/2010

VAERS ID: 270365 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2006-11-27
Onset:2006-11-28
Submitted:2007-01-10
Entered:2007-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB141AA / 0 - / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 09546 / 0 - / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1932AB / 0 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1052F / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Feeling hot, Tenderness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
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:Right deltoid erythematous, warm and tender.


Changed on 5/14/2017

VAERS ID: 270365 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2006-11-27
Onset:2006-11-28
Submitted:2007-01-10
Entered:2007-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB141AA / 0 - / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 09546 / 0 - / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1932AB / 0 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1052F / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Feeling hot, Tenderness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
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:Right deltoid erythematous, warm and tender.


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