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This is VAERS ID 277857

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 277857
Age:17.0
Gender:Female
Location:Maryland
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-05-03
Entered:2007-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1280F / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00124 / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR 42183AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site irritation, Injection site pruritus

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase, Zaditor
Current Illness: Trichamonis vaginosa and allergic rhinitis
Preexisting Conditions: None.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt noted pruritis at the injection site on the afternoon after administration followed by erythema and a burning sensation also localized to the injections site. She was seen 4 days later when the erythema measured 13 x 7.5 cm. There were no other sx, c"onstitutional or otherwise.


Changed on 12/8/2009

VAERS ID: 277857 Before After
Age:17.0
Gender:Female
Location:Maryland
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-05-03
Entered:2007-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1280F / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00124 / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR 42183AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Injection site erythema, Injection site irritation, Injection site pruritus

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase, Zaditor
Current Illness: Trichamonis vaginosa and allergic rhinitis
Preexisting Conditions: None.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt noted pruritis at the injection site on the afternoon after administration followed by erythema and a burning sensation also localized to the injections site. She was seen 4 days later when the erythema measured 13 x 7.5 cm. There were no other sx, c"onstitutional constitutional or otherwise.


Changed on 4/7/2010

VAERS ID: 277857 Before After
Age:17.0
Gender:Female
Location:Maryland
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-05-03
Entered:2007-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1280F / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00124 / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR 42183AA / 0 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Injection site erythema, Injection site irritation, Injection site pruritus

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase, Zaditor
Current Illness: Trichamonis vaginosa and allergic rhinitis
Preexisting Conditions: None.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt noted pruritis at the injection site on the afternoon after administration followed by erythema and a burning sensation also localized to the injections site. She was seen 4 days later when the erythema measured 13 x 7.5 cm. There were no other sx, constitutional or otherwise.


Changed on 5/14/2017

VAERS ID: 277857 Before After
Age:17.0
Gender:Female
Location:Maryland
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-05-03
Entered:2007-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1280F / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00124 / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR 42183AA / 0 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Injection site erythema, Injection site irritation, Injection site pruritus

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase, Zaditor
Current Illness: Trichamonis vaginosa and allergic rhinitis
Preexisting Conditions: None.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt noted pruritis at the injection site on the afternoon after administration followed by erythema and a burning sensation also localized to the injections site. She was seen 4 days later when the erythema measured 13 x 7.5 cm. There were no other sx, constitutional or otherwise.


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