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This is VAERS ID 277413

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 277413
Age:
Gender:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U2208AA / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C26900AA / 5 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1250F / 1 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Anaphylactic reaction, Dyspnoea, Rash, Wheezing

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

Write-up:Anaphylaxis, rash, wheezing, mild difficulty breathing. Recovered completely with steroids, Benadryl, etc. Has since had second Gardasil, no problems.


Changed on 4/7/2010

VAERS ID: 277413 Before After
Age:
Gender:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U2208AA / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C26900AA / 5 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1250F / 1 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Anaphylactic reaction, Dyspnoea, Rash, Wheezing

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

Write-up:Anaphylaxis, rash, wheezing, mild difficulty breathing. Recovered completely with steroids, Benadryl, etc. Has since had second Gardasil, no problems.


Changed on 5/14/2017

VAERS ID: 277413 Before After
Age:
Gender:Unknown
Location:Missouri
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U2208AA / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SANOFI PASTEUR C26900AA / 5 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1250F / 1 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Anaphylactic reaction, Dyspnoea, Rash, Wheezing

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

Write-up:Anaphylaxis, rash, wheezing, mild difficulty breathing. Recovered completely with steroids, Benadryl, etc. Has since had second Gardasil, no problems.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277413&WAYBACKHISTORY=ON


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