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This is VAERS ID 274678

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274678
Age:11.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-03-06
Onset:2007-03-06
Submitted:2007-03-20
Entered:2007-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2638AA / 0 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Pruritus

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Both arm and elbow itchy.


Changed on 5/14/2017

VAERS ID: 274678 Before After
Age:11.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-03-06
Onset:2007-03-06
Submitted:2007-03-20
Entered:2007-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SANOFI PASTEUR C2638AA / 0 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Pruritus

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Both arm and elbow itchy.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274678&WAYBACKHISTORY=ON


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