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This is VAERS ID 276659

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276659
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Acne, Eye swelling

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

Write-up:Information has been received from a nurse concerning her 12 year old daughter who on an unspecified date was vaccinated with a 0.5 mL dose of Gardasil. On the same day, the patient was concomitantly vaccinated with a dose of Varivax (MSD). Subsequently,"the patient developed a swollen eye and acne. The patient sought unspecified medical attention. Subsequently, the patient recovered from swollen eye and acne. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 276659 Before After
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Acne, Eye swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: Unk
CDC 'Split Type': (blank) WAES0703USA02192

Write-up:Information has been received from a nurse concerning her 12 year old daughter who on an unspecified date was vaccinated with a 0.5 mL dose of Gardasil. On the same day, the patient was concomitantly vaccinated with a dose of Varivax (MSD). Subsequently,"the Subsequently, the patient developed a swollen eye and acne. The patient sought unspecified medical attention. Subsequently, the patient recovered from swollen eye and acne. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276659&WAYBACKHISTORY=ON


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