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This is VAERS ID 271559

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271559
VAERS Form:
Age:14.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-17
Onset:2007-01-25
Submitted:2007-01-31
Entered:2007-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1046F / 1 LA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: Pruritus, Rash vesicular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Asmarx, Albuterol, Florim cream
Current Illness: NONE
Preexisting Conditions: Eczema, Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Started with signs of chicken pox 8 days after vaccine over entire back, neck, front, abdomen. No comitant symptoms no fever, no stomach symptoms, no pain, no cough, no runny nose, no sore throat. Positive puritis.


Changed on 12/8/2009

271559 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-17
Onset:2007-01-25
Submitted:2007-01-31
Entered:2007-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1046F / 1 LA / SC

Administered by: Public      Purchased by: Unknown Private
Symptoms: Pruritus, Rash vesicular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Asmarx, Albuterol, Florim cream
Current Illness: NONE
Preexisting Conditions: Eczema, Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Started with signs of chicken pox 8 days after vaccine over entire back, neck, front, abdomen. No comitant symptoms no fever, no stomach symptoms, no pain, no cough, no runny nose, no sore throat. Positive puritis.


Changed on 9/14/2017

271559 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-17
Onset:2007-01-25
Submitted:2007-01-31
Entered:2007-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1046F / 1 2 LA / SC

Administered by: Public      Purchased by: Private
Symptoms: Pruritus, Rash vesicular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Asmarx, Albuterol, Florim cream
Current Illness: NONE
Preexisting Conditions: Eczema, Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Started with signs of chicken pox 8 days after vaccine over entire back, neck, front, abdomen. No comitant symptoms no fever, no stomach symptoms, no pain, no cough, no runny nose, no sore throat. Positive puritis.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271559&WAYBACKHISTORY=ON


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