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This is VAERS ID 273922

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

273922
VAERS Form:
Age:12.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-07
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / - RA / IM
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) / MERCK & CO. INC. 1397F / - RA / SC
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2720AA / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Body temperature increased, Fatigue, Pharyngolaryngeal pain, Pyrexia, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC
Current Illness: Vague RLQ abd pain
Preexisting Conditions: Depression, seasonal allergies
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Six hours s/p injections developed fever, rash up right arm, right side of neck and face. Also developed sore throat in 24 hours. Temp = 102. Rash responded to Benadryl except for local injection sites. Is having RLQ pain but that started before injection"s. Generally feels fatigued as well. No rash on left arm.


Changed on 12/8/2009

273922 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-07
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / - RA / IM
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) / MERCK & CO. INC. 1397F / - RA / SC
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2720AA / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Body temperature increased, Fatigue, Pharyngolaryngeal pain, Pyrexia, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC
Current Illness: Vague RLQ abd pain
Preexisting Conditions: Depression, seasonal allergies
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Six hours s/p injections developed fever, rash up right arm, right side of neck and face. Also developed sore throat in 24 hours. Temp = 102. Rash responded to Benadryl except for local injection sites. Is having RLQ pain but that started before injection"s. injections. Generally feels fatigued as well. No rash on left arm.


Changed on 4/7/2010

273922 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-07
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / - RA / IM
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) / MERCK & CO. INC. 1397F / - RA / SC
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SANOFI PASTEUR C2720AA / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Body temperature increased, Fatigue, Pharyngolaryngeal pain, Pyrexia, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC
Current Illness: Vague RLQ abd pain
Preexisting Conditions: Depression, seasonal allergies
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Six hours s/p injections developed fever, rash up right arm, right side of neck and face. Also developed sore throat in 24 hours. Temp = 102. Rash responded to Benadryl except for local injection sites. Is having RLQ pain but that started before injections. Generally feels fatigued as well. No rash on left arm.


Changed on 6/14/2014

273922 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-07
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / - RA / IM
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) / MERCK & CO. INC. 1397F / - RA / SC
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2720AA / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Body temperature increased, Fatigue, Pharyngolaryngeal pain, Pyrexia, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC
Current Illness: Vague RLQ abd pain
Preexisting Conditions: Depression, seasonal allergies
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Six hours s/p injections developed fever, rash up right arm, right side of neck and face. Also developed sore throat in 24 hours. Temp = 102. Rash responded to Benadryl except for local injection sites. Is having RLQ pain but that started before injections. Generally feels fatigued as well. No rash on left arm.


Changed on 5/14/2017

273922 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-07
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / - RA / IM
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) / MERCK & CO. INC. 1397F / - RA / SC
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2720AA / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Body temperature increased, Fatigue, Pharyngolaryngeal pain, Pyrexia, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC
Current Illness: Vague RLQ abd pain
Preexisting Conditions: Depression, seasonal allergies
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Six hours s/p injections developed fever, rash up right arm, right side of neck and face. Also developed sore throat in 24 hours. Temp = 102. Rash responded to Benadryl except for local injection sites. Is having RLQ pain but that started before injections. Generally feels fatigued as well. No rash on left arm.


Changed on 9/14/2017

273922 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-07
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / - UNK RA / IM
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) / MERCK & CO. INC. 1397F / - UNK RA / SC
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2720AA / - UNK LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Body temperature increased, Fatigue, Pharyngolaryngeal pain, Pyrexia, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC
Current Illness: Vague RLQ abd pain
Preexisting Conditions: Depression, seasonal allergies
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Six hours s/p injections developed fever, rash up right arm, right side of neck and face. Also developed sore throat in 24 hours. Temp = 102. Rash responded to Benadryl except for local injection sites. Is having RLQ pain but that started before injections. Generally feels fatigued as well. No rash on left arm.


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