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This is VAERS ID 273922

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 273922
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC
Current Illness: Vague RLQ abd pain
Preexisting Conditions: Depression, seasonal 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

VAERS ID: 273922 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC
Current Illness: Vague RLQ abd pain
Preexisting Conditions: Depression, seasonal 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

VAERS ID: 273922 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC
Current Illness: Vague RLQ abd pain
Preexisting Conditions: Depression, seasonal 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

VAERS ID: 273922 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC
Current Illness: Vague RLQ abd pain
Preexisting Conditions: Depression, seasonal 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

VAERS ID: 273922 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC
Current Illness: Vague RLQ abd pain
Preexisting Conditions: Depression, seasonal 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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