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This is VAERS ID 274790

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274790
Age:11.0
Gender:Female
Location:Virginia
Vaccinated:2007-03-06
Onset:2007-03-09
Submitted:2007-03-20
Entered:2007-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) / AVENTIS PASTEUR U2307AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00886 / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2638AA / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Erythema, Oedema peripheral, Pain in extremity

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

Write-up:R arm redness, pain, swelling. Shortly after.


Changed on 12/8/2009

VAERS ID: 274790 Before After
Age:11.0
Gender:Female
Location:Virginia
Vaccinated:2007-03-06
Onset:2007-03-09
Submitted:2007-03-20
Entered:2007-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U2307AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00886 / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2638AA / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown Private
Symptoms: Erythema, Oedema peripheral, Pain in extremity

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

Write-up:R arm redness, pain, swelling. Shortly after.


Changed on 7/7/2013

VAERS ID: 274790 Before After
Age:11.0
Gender:Female
Location:Virginia
Vaccinated:2007-03-06
Onset:2007-03-09
Submitted:2007-03-20
Entered:2007-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U2307AA / 0 RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U2307AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00886 / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2638AA / 0 LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Erythema, Oedema peripheral, Pain in extremity

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

Write-up:R arm redness, pain, swelling. Shortly after.


Changed on 5/14/2017

VAERS ID: 274790 Before After
Age:11.0
Gender:Female
Location:Virginia
Vaccinated:2007-03-06
Onset:2007-03-09
Submitted:2007-03-20
Entered:2007-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR SANOFI PASTEUR U2307AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00886 / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SANOFI PASTEUR C2638AA / 0 LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Erythema, Oedema peripheral, Pain in extremity

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

Write-up:R arm redness, pain, swelling. Shortly after.


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