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This is VAERS ID 276624

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276624
Age:12.0
Gender:Female
Location:California
Vaccinated:2007-03-06
Onset:2007-03-06
Submitted:2007-04-17
Entered:2007-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U2082AA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B007AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1085F / 1 LA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: Hypoaesthesia, Malaise, Nausea, Pain in extremity

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

Write-up:Pain and numbeness in arm for 2 days after vaccine administered. Malaise and intermittant nausea since day of vaccination.


Changed on 12/8/2009

VAERS ID: 276624 Before After
Age:12.0
Gender:Female
Location:California
Vaccinated:2007-03-06
Onset:2007-03-06
Submitted:2007-04-17
Entered:2007-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U2082AA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B007AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1085F / 1 LA / SC

Administered by: Public      Purchased by: Unknown Private
Symptoms: Hypoaesthesia, Malaise, Nausea, Pain in extremity

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

Write-up:Pain and numbeness in arm for 2 days after vaccine administered. Malaise and intermittant nausea since day of vaccination.


Changed on 4/7/2010

VAERS ID: 276624 Before After
Age:12.0
Gender:Female
Location:California
Vaccinated:2007-03-06
Onset:2007-03-06
Submitted:2007-04-17
Entered:2007-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U2082AA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B007AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1085F / 1 LA / SC

Administered by: Public      Purchased by: Private
Symptoms: Hypoaesthesia, Malaise, Nausea, Pain in extremity

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

Write-up:Pain and numbeness in arm for 2 days after vaccine administered. Malaise and intermittant nausea since day of vaccination.


Changed on 5/14/2017

VAERS ID: 276624 Before After
Age:12.0
Gender:Female
Location:California
Vaccinated:2007-03-06
Onset:2007-03-06
Submitted:2007-04-17
Entered:2007-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U2082AA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B007AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1085F / 1 LA / SC

Administered by: Public      Purchased by: Private
Symptoms: Hypoaesthesia, Malaise, Nausea, Pain in extremity

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

Write-up:Pain and numbeness in arm for 2 days after vaccine administered. Malaise and intermittant nausea since day of vaccination.


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