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This is VAERS ID 273740

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 273740
Age:11.0
Gender:Female
Location:Colorado
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-07
Entered:2007-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB143BK / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1062F / 1 RA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: Erythema, Injection site vesicles, Oedema peripheral, Pain in extremity, Skin warm

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:
CDC 'Split Type':

Write-up:Right upper arm red, hot, swollen 18 cm x 18 cm the circumference of arm. 5 small fluid filled vesicles around injection site. Patient c/o pain in effected arm. No systemic s/s. Doctor name reported examined patient and recommended Advil for pain ice to e"ffected area. Advised to go to E.R. if symptoms worsened or systemic involvement occurs and contact PCP.


Changed on 12/8/2009

VAERS ID: 273740 Before After
Age:11.0
Gender:Female
Location:Colorado
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-07
Entered:2007-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB143BK / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1062F / 1 RA / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Erythema, Injection site vesicles, Oedema peripheral, Pain in extremity, Skin warm

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:
CDC 'Split Type':

Write-up:Right upper arm red, hot, swollen 18 cm x 18 cm the circumference of arm. 5 small fluid filled vesicles around injection site. Patient c/o pain in effected arm. No systemic s/s. Doctor name reported examined patient and recommended Advil for pain ice to e"ffected effected area. Advised to go to E.R. if symptoms worsened or systemic involvement occurs and contact PCP.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273740&WAYBACKHISTORY=ON


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