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This is VAERS ID 273415

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

273415
VAERS Form:
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
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: Yaz, Celexa
Current Illness:
Preexisting Conditions:
Allergies:
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

273415 Before After
VAERS Form:
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
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: Yaz, Celexa
Current Illness:
Preexisting Conditions:
Allergies:
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

273415 Before After
VAERS Form:
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
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: Yaz, Celexa
Current Illness:
Preexisting Conditions:
Allergies:
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

273415 Before After
VAERS Form:
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
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: Yaz, Celexa
Current Illness:
Preexisting Conditions:
Allergies:
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 9/14/2017

273415 Before After
VAERS Form:(blank) 1
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) / SANOFI PASTEUR C2609AA / 0 1 RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2255AAA / 0 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 1 LA / IM

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

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: Yaz, Celexa
Current Illness:
Preexisting Conditions:
Allergies:
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


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