National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 273415

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 273415
Age:16.0
Gender:Female
Location:Colorado
Vaccinated:2006-11-08
Onset:0000-00-00
Submitted:2007-03-05
Entered:2007-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / AVENTIS PASTEUR C2609AA / 0 RA / IM
FLU: INFLUENZA (FLUZONE) / AVENTIS PASTEUR U2255AAA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site pain, Injection site reaction, Pigmentation disorder

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz, Celexa
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Received first vaccine on 11/08/2006 never reported it until 03/01/. Area where she got Gardasil injection and tender and Hypo-pigmented. Left Arm 32mm x 24 mm 11/08/2006 Right Arm 22 x 25 mm 01/08/2007


Changed on 12/8/2009

VAERS ID: 273415 Before After
Age:16.0
Gender:Female
Location:Colorado
Vaccinated:2006-11-08
Onset:0000-00-00
Submitted:2007-03-05
Entered:2007-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / AVENTIS PASTEUR C2609AA / 0 RA / IM
FLU: INFLUENZA (FLUZONE) INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U2255AAA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Injection site pain, Injection site reaction, Pigmentation disorder

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz, Celexa
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Received first vaccine on 11/08/2006 never reported it until 03/01/. Area where she got Gardasil injection and tender and Hypo-pigmented. Left Arm 32mm x 24 mm 11/08/2006 Right Arm 22 x 25 mm 01/08/2007


Changed on 7/7/2013

VAERS ID: 273415 Before After
Age:16.0
Gender:Female
Location:Colorado
Vaccinated:2006-11-08
Onset:0000-00-00
Submitted:2007-03-05
Entered:2007-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / AVENTIS PASTEUR C2609AA / 0 RA / IM
FLU: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U2255AAA / 0 LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U2255AAA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site pain, Injection site reaction, Pigmentation disorder

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz, Celexa
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Received first vaccine on 11/08/2006 never reported it until 03/01/. Area where she got Gardasil injection and tender and Hypo-pigmented. Left Arm 32mm x 24 mm 11/08/2006 Right Arm 22 x 25 mm 01/08/2007


Changed on 5/14/2017

VAERS ID: 273415 Before After
Age:16.0
Gender:Female
Location:Colorado
Vaccinated:2006-11-08
Onset:0000-00-00
Submitted:2007-03-05
Entered:2007-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / AVENTIS PASTEUR SANOFI PASTEUR C2609AA / 0 RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR SANOFI PASTEUR U2255AAA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site pain, Injection site reaction, Pigmentation disorder

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz, Celexa
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Received first vaccine on 11/08/2006 never reported it until 03/01/. Area where she got Gardasil injection and tender and Hypo-pigmented. Left Arm 32mm x 24 mm 11/08/2006 Right Arm 22 x 25 mm 01/08/2007


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273415&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166