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This is VAERS ID 278439

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 278439
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2007-05-03
Onset:2007-05-03
Submitted:2007-05-11
Entered:2007-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 021OU / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1968AA / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2644AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Acne, Oedema peripheral, Rash, Swollen tongue, Tongue disorder

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

Write-up:called 05/03/2007 complaining of tongue swelling and rash. Was told to go to emergency room. I called on 05/04/07 for follow up and was told by father that patient was fine, only complained of /"tongue heaviness and had a few pimples/", did not go to er". Again was called 05/09/2007 when physician not in office, with arm swelling, was told to go to emergency room since there was no physician available for 24 hours to examine patient.


Changed on 12/8/2009

VAERS ID: 278439 Before After
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2007-05-03
Onset:2007-05-03
Submitted:2007-05-11
Entered:2007-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 021OU / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1968AA / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2644AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Acne, Oedema peripheral, Rash, Swollen tongue, Tongue disorder

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

Write-up:called 05/03/2007 complaining of tongue swelling and rash. Was told to go to emergency room. I called on 05/04/07 for follow up and was told by father that patient was fine, only complained of /"tongue "tongue heaviness and had a few pimples/", pimples", did not go to er". er. Again was called 05/09/2007 when physician not in office, with arm swelling, was told to go to emergency room since there was no physician available for 24 hours to examine patient.


Changed on 4/7/2010

VAERS ID: 278439 Before After
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2007-05-03
Onset:2007-05-03
Submitted:2007-05-11
Entered:2007-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 021OU / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1968AA / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2644AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Acne, Oedema peripheral, Rash, Swollen tongue, Tongue disorder

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

Write-up:called 05/03/2007 complaining of tongue swelling and rash. Was told to go to emergency room. I called on 05/04/07 for follow up and was told by father that patient was fine, only complained of "tongue heaviness and had a few pimples", did not go to er. Again was called 05/09/2007 when physician not in office, with arm swelling, was told to go to emergency room since there was no physician available for 24 hours to examine patient.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278439&WAYBACKHISTORY=ON


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