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This is VAERS ID 277005

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277005
VAERS Form:
Age:18.0
Gender:Female
Location:Colorado
Vaccinated:2007-04-11
Onset:2007-04-12
Submitted:2007-04-12
Entered:2007-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1311F / 1 RA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: Injection site bruising, Injection site erythema, Injection site pruritus, Injection site warmth

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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:4/12/07 AT 2:15 pm noted area at injection site slight itching - looked bruised - now red and hot to touch. 50mm X 35mm. No difficulty breathing, swelling, itching on other areas. Advised Benadryl PRN.


Changed on 12/8/2009

277005 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Colorado
Vaccinated:2007-04-11
Onset:2007-04-12
Submitted:2007-04-12
Entered:2007-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1311F / 1 RA / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Injection site bruising, Injection site erythema, Injection site pruritus, Injection site warmth

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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:4/12/07 AT 2:15 pm noted area at injection site slight itching - looked bruised - now red and hot to touch. 50mm X 35mm. No difficulty breathing, swelling, itching on other areas. Advised Benadryl PRN.


Changed on 9/14/2017

277005 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Colorado
Vaccinated:2007-04-11
Onset:2007-04-12
Submitted:2007-04-12
Entered:2007-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 1 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1311F / 1 2 RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Injection site bruising, Injection site erythema, Injection site pruritus, Injection site warmth

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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:4/12/07 AT 2:15 pm noted area at injection site slight itching - looked bruised - now red and hot to touch. 50mm X 35mm. No difficulty breathing, swelling, itching on other areas. Advised Benadryl PRN.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277005&WAYBACKHISTORY=ON


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