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This is VAERS ID 275050

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 275050
Age:
Gender:Unknown
Location:Arizona
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Accidental exposure, Wrong drug administered

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

Write-up:Information has been received from a health professional concerning a patient who was vaccinated with a dose of Zostavax that was reconstituted with Gardasil. No symptoms were noted. The office manager reported it was human error. The vaccine was administ"ered by a medical assistant who was working in the office as a temp and was unfamiliar with the office and the vaccine. There was no product quality complaint involved. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 275050 Before After
Age:
Gender:Unknown
Location:Arizona
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Accidental exposure, Wrong drug administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0702USA03477

Write-up:Information has been received from a health professional concerning a patient who was vaccinated with a dose of Zostavax that was reconstituted with Gardasil. No symptoms were noted. The office manager reported it was human error. The vaccine was administ"ered administered by a medical assistant who was working in the office as a temp and was unfamiliar with the office and the vaccine. There was no product quality complaint involved. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=275050&WAYBACKHISTORY=ON


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