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This is VAERS ID 275623

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

275623
VAERS Form:
Age:0.0
Gender:Female
Location:Colorado
Vaccinated:1994-10-17
Onset:0000-00-00
Submitted:2007-04-02
Entered:2007-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB143BA / 0 RL / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LL / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U1875AA / 0 RL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0908F / 1 RA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Oedema peripheral, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Right upper arm swelled and turned red. Was given on ABD, steroid and pain killer about Fri PM 13/30/07. Seen again by NP - no meds given at that time. Arm by 4-1-07was red and swollen from elbow elbow to shoulder and was resolving.


Changed on 12/8/2009

275623 Before After
VAERS Form:
Age:0.0
Gender:Female
Location:Colorado
Vaccinated:1994-10-17
Onset:0000-00-00
Submitted:2007-04-02
Entered:2007-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB143BA / 0 RL / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LL / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U1875AA / 0 RL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0908F / 1 RA / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Oedema peripheral, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Right upper arm swelled and turned red. Was given on ABD, steroid and pain killer about Fri PM 13/30/07. Seen again by NP - no meds given at that time. Arm by 4-1-07was red and swollen from elbow elbow to shoulder and was resolving.


Changed on 4/7/2010

275623 Before After
VAERS Form:
Age:0.0
Gender:Female
Location:Colorado
Vaccinated:1994-10-17
Onset:0000-00-00
Submitted:2007-04-02
Entered:2007-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB143BA / 0 RL / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LL / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1875AA / 0 RL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0908F / 1 RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Oedema peripheral, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Right upper arm swelled and turned red. Was given on ABD, steroid and pain killer about Fri PM 13/30/07. Seen again by NP - no meds given at that time. Arm by 4-1-07was red and swollen from elbow elbow to shoulder and was resolving.


Changed on 7/31/2010

275623 Before After
VAERS Form:
Age:0.0
Gender:Female
Location:Colorado
Vaccinated:1994-10-17
Onset:0000-00-00
Submitted:2007-04-02
Entered:2007-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB143BA / 0 RL / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LL / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1875AA / 0 RL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0908F / 1 RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Oedema peripheral, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Right upper arm swelled and turned red. Was given on ABD, steroid and pain killer about Fri PM 13/30/07. Seen again by NP - no meds given at that time. Arm by 4-1-07was red and swollen from elbow elbow to shoulder and was resolving.


Changed on 9/14/2017

275623 Before After
VAERS Form:(blank) 1
Age:0.0
Gender:Female
Location:Colorado
Vaccinated:1994-10-17
Onset:0000-00-00
Submitted:2007-04-02
Entered:2007-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB143BA / 0 1 RL / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 1 LL / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1875AA / 0 1 RL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0908F / 1 2 RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Oedema peripheral, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Right upper arm swelled and turned red. Was given on ABD, steroid and pain killer about Fri PM 13/30/07. Seen again by NP - no meds given at that time. Arm by 4-1-07was red and swollen from elbow elbow to shoulder and was resolving.


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