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This is VAERS ID 276336

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276336
Age:13.0
Gender:Female
Location:New Jersey
Vaccinated:2007-03-12
Onset:2007-03-19
Submitted:2007-05-12
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1497F / 1 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Rash papular, Rash pruritic, Rash vesicular

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

Write-up:Papular vesicular pruritic rash began 1 week after receiving Varivax booster.


Changed on 12/8/2009

VAERS ID: 276336 Before After
Age:13.0
Gender:Female
Location:New Jersey
Vaccinated:2007-03-12
Onset:2007-03-19
Submitted:2007-05-12
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1497F / 1 - / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Rash papular, Rash pruritic, Rash vesicular

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

Write-up:Papular vesicular pruritic rash began 1 week after receiving Varivax booster.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276336&WAYBACKHISTORY=ON


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