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This is VAERS ID 277696

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 277696
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions:
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

VAERS ID: 277696 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions:
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

VAERS ID: 277696 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions:
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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277696&WAYBACKHISTORY=ON


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