National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 278170

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 278170
Age:
Gender:Unknown
Location:Michigan
Vaccinated:2007-04-18
Onset:2007-04-19
Submitted:0000-00-00
Entered:2007-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2138AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2688AA / 5 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0117U / 1 LA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pain, Injection site warmth

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:On 4-18-07 Patient received 4 shots from our office around 1600. 24 hours later red tender warm area back part of left arm where Varicella was give SQ used ice, Ibuprofen, Benadryl - By 4-22-07 area increase 3/" around red, raised, tender- warm to tender,"warm to touch - continued comfort treatment - by 4-23-07 4 pm red edematous reactions gone but tender to touch.


Changed on 12/8/2009

VAERS ID: 278170 Before After
Age:
Gender:Unknown
Location:Michigan
Vaccinated:2007-04-18
Onset:2007-04-19
Submitted:0000-00-00
Entered:2007-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2138AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2688AA / 5 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0117U / 1 LA / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Injection site erythema, Injection site pain, Injection site warmth

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:On 4-18-07 Patient received 4 shots from our office around 1600. 24 hours later red tender warm area back part of left arm where Varicella was give SQ used ice, Ibuprofen, Benadryl - By 4-22-07 area increase 3/" 3" around red, raised, tender- warm to tender,"warm tender, warm to touch - continued comfort treatment - by 4-23-07 4 pm red edematous reactions gone but tender to touch.


Changed on 4/7/2010

VAERS ID: 278170 Before After
Age:
Gender:Unknown
Location:Michigan
Vaccinated:2007-04-18
Onset:2007-04-19
Submitted:0000-00-00
Entered:2007-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2138AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2688AA / 5 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0117U / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Injection site erythema, Injection site pain, Injection site warmth

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:On 4-18-07 Patient received 4 shots from our office around 1600. 24 hours later red tender warm area back part of left arm where Varicella was give SQ used ice, Ibuprofen, Benadryl - By 4-22-07 area increase 3" around red, raised, tender- warm to tender, warm to touch - continued comfort treatment - by 4-23-07 4 pm red edematous reactions gone but tender to touch.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278170&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166