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This is VAERS ID 278157

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 278157
Age:13.0
Gender:Female
Location:Tennessee
Vaccinated:2007-04-27
Onset:2007-04-27
Submitted:2007-04-30
Entered:2007-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 RA / SC
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2689AA / - RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Ecchymosis, Erythema, Rash, Skin warm, Tenderness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Increased Wt. gain
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up:3/12/" x 3/12/" x 3/" Red, circular rash in area of ecclymosisin center. Mild tenderness, and warmth.


Changed on 12/8/2009

VAERS ID: 278157 Before After
Age:13.0
Gender:Female
Location:Tennessee
Vaccinated:2007-04-27
Onset:2007-04-27
Submitted:2007-04-30
Entered:2007-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 RA / SC
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2689AA / - RA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Ecchymosis, Erythema, Rash, Skin warm, Tenderness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Increased Wt. gain
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up:3/12/" 3/12" x 3/12/" 3/12" x 3/" 3" Red, circular rash in area of ecclymosisin center. Mild tenderness, and warmth.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278157&WAYBACKHISTORY=ON


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