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This is VAERS ID 274461

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274461
Age:19.0
Gender:Female
Location:California
Vaccinated:2006-11-09
Onset:2006-11-11
Submitted:2007-03-14
Entered:2007-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U1932AB / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2557AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Rash papular, Rash pruritic

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Itchy rash on both deltoids started 2 days after immunizations received. Rash is fine and papular.


Changed on 12/8/2009

VAERS ID: 274461 Before After
Age:19.0
Gender:Female
Location:California
Vaccinated:2006-11-09
Onset:2006-11-11
Submitted:2007-03-14
Entered:2007-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U1932AB / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2557AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Rash papular, Rash pruritic

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Itchy rash on both deltoids started 2 days after immunizations received. Rash is fine and papular.


Changed on 4/7/2010

VAERS ID: 274461 Before After
Age:19.0
Gender:Female
Location:California
Vaccinated:2006-11-09
Onset:2006-11-11
Submitted:2007-03-14
Entered:2007-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1932AB / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2557AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Rash papular, Rash pruritic

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Itchy rash on both deltoids started 2 days after immunizations received. Rash is fine and papular.


Changed on 5/14/2017

VAERS ID: 274461 Before After
Age:19.0
Gender:Female
Location:California
Vaccinated:2006-11-09
Onset:2006-11-11
Submitted:2007-03-14
Entered:2007-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1932AB / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SANOFI PASTEUR C2557AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Rash papular, Rash pruritic

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Itchy rash on both deltoids started 2 days after immunizations received. Rash is fine and papular.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274461&WAYBACKHISTORY=ON


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