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This is VAERS ID 274437

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274437
VAERS Form:
Age:9.0
Gender:Female
Location:Nevada
Vaccinated:2007-03-21
Onset:2007-03-21
Submitted:2007-03-21
Entered:2007-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 R / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 L / -

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Nausea, Pallor, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations: none~~NULL~~In Patient|none~~NULL~~In Sibling1|none~~NULL~~In Sibling2
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': none

Write-up:Approximately 5 minutes after administration my child complained of nausea and dizziness, she appeared pale. About 10 min later she vomitted. About 15 min after administration she felt ok.


Changed on 12/8/2009

274437 Before After
VAERS Form:
Age:9.0
Gender:Female
Location:Nevada
Vaccinated:2007-03-21
Onset:2007-03-21
Submitted:2007-03-21
Entered:2007-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 R / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 L / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dizziness, Nausea, Pallor, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations: none~~NULL~~In Patient|none~~NULL~~In Sibling1|none~~NULL~~In Sibling2
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': none (blank)

Write-up:Approximately 5 minutes after administration my child complained of nausea and dizziness, she appeared pale. About 10 min later she vomitted. About 15 min after administration she felt ok.


Changed on 5/14/2017

274437 Before After
VAERS Form:
Age:9.0
Gender:Female
Location:Nevada
Vaccinated:2007-03-21
Onset:2007-03-21
Submitted:2007-03-21
Entered:2007-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 R RA / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 L LA / -

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Nausea, Pallor, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations: none~~NULL~~In Patient|none~~NULL~~In Sibling1|none~~NULL~~In none~ ()~NULL~~In Patient|none~ ()~NULL~~In Sibling1|none~ ()~NULL~~In Sibling2
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Approximately 5 minutes after administration my child complained of nausea and dizziness, she appeared pale. About 10 min later she vomitted. About 15 min after administration she felt ok.


Changed on 9/14/2017

274437 Before After
VAERS Form:(blank) 1
Age:9.0
Gender:Female
Location:Nevada
Vaccinated:2007-03-21
Onset:2007-03-21
Submitted:2007-03-21
Entered:2007-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 RA / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 2 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Nausea, Pallor, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations: none~ ()~NULL~~In Patient|none~ ()~NULL~~In Sibling1|none~ ()~NULL~~In Sibling2
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Approximately 5 minutes after administration my child complained of nausea and dizziness, she appeared pale. About 10 min later she vomitted. About 15 min after administration she felt ok.


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