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This is VAERS ID 277698

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 277698
Age:18.0
Gender:Female
Location:North Carolina
Vaccinated:2007-04-20
Onset:2007-04-23
Submitted:2007-04-25
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER 1282E / 0 LA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03844 / 0 LA / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1947AA / 0 RA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR AC52B005CA / 0 RA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration

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

Write-up:8 cm x 8 cm area of eryth and induration Tdap 4-20-07


Changed on 12/8/2009

VAERS ID: 277698 Before After
Age:18.0
Gender:Female
Location:North Carolina
Vaccinated:2007-04-20
Onset:2007-04-23
Submitted:2007-04-25
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER 1282E / 0 LA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03844 / 0 LA / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1947AA / 0 RA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR AC52B005CA / 0 RA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': (blank) NC07038

Write-up:8 cm x 8 cm area of eryth and induration Tdap 4-20-07


Changed on 4/7/2010

VAERS ID: 277698 Before After
Age:18.0
Gender:Female
Location:North Carolina
Vaccinated:2007-04-20
Onset:2007-04-23
Submitted:2007-04-25
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER 1282E / 0 LA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03844 / 0 LA / -
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1947AA / 0 RA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR AC52B005CA / 0 RA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': NC07038

Write-up:8 cm x 8 cm area of eryth and induration Tdap 4-20-07


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