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This is VAERS ID 270631

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 270631
Age:20.0
Gender:Female
Location:California
Vaccinated:2006-11-09
Onset:2006-11-09
Submitted:2007-01-17
Entered:2007-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2609AA / 0 LA / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: HA, sinus pressure no temp
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:pt stated post last vaccine admin. arm was hot to touch and sore


Changed on 12/8/2009

VAERS ID: 270631 Before After
Age:20.0
Gender:Female
Location:California
Vaccinated:2006-11-09
Onset:2006-11-09
Submitted:2007-01-17
Entered:2007-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2609AA / 0 LA / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: HA, sinus pressure no temp
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:pt stated post last vaccine admin. arm was hot to touch and sore


Changed on 5/14/2017

VAERS ID: 270631 Before After
Age:20.0
Gender:Female
Location:California
Vaccinated:2006-11-09
Onset:2006-11-09
Submitted:2007-01-17
Entered:2007-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SANOFI PASTEUR C2609AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site warmth, Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: HA, sinus pressure no temp
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:pt stated post last vaccine admin. arm was hot to touch and sore


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=270631&WAYBACKHISTORY=ON


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