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This is VAERS ID 274678

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274678
VAERS Form:
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
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:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Both arm and elbow itchy.


Changed on 5/14/2017

274678 Before After
VAERS Form:
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
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:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Both arm and elbow itchy.


Changed on 9/14/2017

274678 Before After
VAERS Form:(blank) 1
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 1 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2638AA / 0 1 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Pruritus

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:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Both arm and elbow itchy.


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


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