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This is VAERS ID 278024

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 278024
Age:18.0
Gender:Female
Location:Virginia
Vaccinated:2007-04-10
Onset:2007-04-12
Submitted:2007-04-27
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 UN / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1967A / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2720A / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Oedema peripheral, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mircette
Current Illness:
Preexisting Conditions: No known allergies. No preventative health maintenance
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Fever, Redness, swollen arm


Changed on 12/8/2009

VAERS ID: 278024 Before After
Age:18.0
Gender:Female
Location:Virginia
Vaccinated:2007-04-10
Onset:2007-04-12
Submitted:2007-04-27
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 UN / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1967A / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2720A / 0 LA / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Erythema, Oedema peripheral, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mircette
Current Illness:
Preexisting Conditions: No known allergies. No preventative health maintenance
Diagnostic Lab Data:
CDC 'Split Type': (blank) 2007013680

Write-up:Fever, Redness, swollen arm


Changed on 4/7/2010

VAERS ID: 278024 Before After
Age:18.0
Gender:Female
Location:Virginia
Vaccinated:2007-04-10
Onset:2007-04-12
Submitted:2007-04-27
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 UN / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1967A / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2720A / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Erythema, Oedema peripheral, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mircette
Current Illness:
Preexisting Conditions: No known allergies. No preventative health maintenance
Diagnostic Lab Data:
CDC 'Split Type': 2007013680

Write-up:Fever, Redness, swollen arm


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