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This is VAERS ID 275823

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

275823
VAERS Form:
Age:11.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-14
Onset:2007-03-23
Submitted:2007-03-26
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U1892AA / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2492BA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1149F / 1 LA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: Rash

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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:On 3/23/07, had /"bump/" with 2 smaller bumps/" on labia. 3-24-07 another appeared, but ''''first was almost gone/" Referred to private physician.


Changed on 12/8/2009

275823 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-14
Onset:2007-03-23
Submitted:2007-03-26
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U1892AA / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2492BA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1149F / 1 LA / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Rash

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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:On 3/23/07, had /"bump/" "bump" with 2 smaller bumps/" bumps" on labia. 3-24-07 another appeared, but ''''first ''first was almost gone/" gone" Referred to private physician.


Changed on 4/7/2010

275823 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-14
Onset:2007-03-23
Submitted:2007-03-26
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1892AA / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2492BA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1149F / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Rash

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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:On 3/23/07, had "bump" with 2 smaller bumps" on labia. 3-24-07 another appeared, but ''first was almost gone" Referred to private physician.


Changed on 5/11/2010

275823 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-14
Onset:2007-03-23
Submitted:2007-03-26
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1892AA / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SANOFI PASTEUR C2492BA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1149F / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Rash

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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) MI2007009

Write-up:On 3/23/07, had "bump" with 2 smaller bumps" on labia. 3-24-07 another appeared, but ''first was almost gone" Referred to private physician.


Changed on 6/14/2014

275823 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-14
Onset:2007-03-23
Submitted:2007-03-26
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1892AA / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2492BA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1149F / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Rash

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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI2007009

Write-up:On 3/23/07, had "bump" with 2 smaller bumps" on labia. 3-24-07 another appeared, but ''first was almost gone" Referred to private physician.


Changed on 5/14/2017

275823 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-14
Onset:2007-03-23
Submitted:2007-03-26
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1892AA / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2492BA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1149F / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Rash

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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI2007009

Write-up:On 3/23/07, had "bump" with 2 smaller bumps" on labia. 3-24-07 another appeared, but ''first was almost gone" Referred to private physician.


Changed on 9/14/2017

275823 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-14
Onset:2007-03-23
Submitted:2007-03-26
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1892AA / 0 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2492BA / 0 1 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1149F / 1 2 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Rash

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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': MI2007009

Write-up:On 3/23/07, had "bump" with 2 smaller bumps" on labia. 3-24-07 another appeared, but ''first was almost gone" Referred to private physician.


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