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This is VAERS ID 277696

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277696
VAERS Form:
Age:13.0
Gender:Female
Location:North Carolina
Vaccinated:2007-04-16
Onset:2007-04-18
Submitted:2007-04-24
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1947AA / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B005CA / 5 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dermatitis contact, Injection site erythema, Injection site pain, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:pt c/o upper lt arm increased redness. Warm and tenderness Dx: contact dermatitis Cephalexin 500 mg one tablet po tid x 10 days. Local redness to HPV vaccine. Pt instructed to use warm compresses. Ibuprofen and antibiotic.


Changed on 12/8/2009

277696 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:North Carolina
Vaccinated:2007-04-16
Onset:2007-04-18
Submitted:2007-04-24
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1947AA / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B005CA / 5 RA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Dermatitis contact, Injection site erythema, Injection site pain, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:pt c/o upper lt arm increased redness. Warm and tenderness Dx: contact dermatitis Cephalexin 500 mg one tablet po tid x 10 days. Local redness to HPV vaccine. Pt instructed to use warm compresses. Ibuprofen and antibiotic.


Changed on 4/7/2010

277696 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:North Carolina
Vaccinated:2007-04-16
Onset:2007-04-18
Submitted:2007-04-24
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1947AA / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B005CA / 5 RA / IM

Administered by: Private      Purchased by: Public
Symptoms: Dermatitis contact, Injection site erythema, Injection site pain, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:pt c/o upper lt arm increased redness. Warm and tenderness Dx: contact dermatitis Cephalexin 500 mg one tablet po tid x 10 days. Local redness to HPV vaccine. Pt instructed to use warm compresses. Ibuprofen and antibiotic.


Changed on 9/14/2017

277696 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:North Carolina
Vaccinated:2007-04-16
Onset:2007-04-18
Submitted:2007-04-24
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1947AA / 0 1 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B005CA / 5 6 RA / IM

Administered by: Private      Purchased by: Public
Symptoms: Dermatitis contact, Injection site erythema, Injection site pain, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:pt c/o upper lt arm increased redness. Warm and tenderness Dx: contact dermatitis Cephalexin 500 mg one tablet po tid x 10 days. Local redness to HPV vaccine. Pt instructed to use warm compresses. Ibuprofen and antibiotic.


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