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This is VAERS ID 273813

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 273813
Age:14.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-02-20
Onset:2007-02-20
Submitted:2007-02-23
Entered:2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB129AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Incorrect dose administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall XR 20 mg daily ADD, Tetracycline 500 mg BID acne
Current Illness: ADD, Right ankle sprain, Acne
Preexisting Conditions: left elbow cracking
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Adult dose of Hepatitis A given (1440 elu) instead of pediatric dose of Hepatitis A (720 elu)


Changed on 12/8/2009

VAERS ID: 273813 Before After
Age:14.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-02-20
Onset:2007-02-20
Submitted:2007-02-23
Entered:2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB129AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Incorrect dose administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall XR 20 mg daily ADD, Tetracycline 500 mg BID acne
Current Illness: ADD, Right ankle sprain, Acne
Preexisting Conditions: left elbow cracking
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Adult dose of Hepatitis A given (1440 elu) instead of pediatric dose of Hepatitis A (720 elu)


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273813&WAYBACKHISTORY=ON


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