National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 279081

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279081
Age:17.0
Gender:Female
Location:Nevada
Vaccinated:2007-05-16
Onset:2007-05-17
Submitted:2007-05-21
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB148AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2226AA / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B013AA / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash, Pruritus generalised

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 Known
Preexisting Conditions: None
Diagnostic Lab Data: None at this time
CDC 'Split Type':

Write-up:On 5/16/07 received Tdap, #1Hep A, #1HPV and MCV4. On 5/17/07 she felt itchy all over especially her neck area. On 5/18/07 she woke up with a itchy/painful rash from the neck down. Father denies any problems with previous immunizations. Denies ingesting"or having contact with anything new. Father has appled Flucocinolone Acetonide 0.025% cream to the rash area a couple of times since it developed. Recommended MD and advised to stop using the Flucocinolone Acetonide 0.025% cream (it had not been prescribe


Changed on 12/8/2009

VAERS ID: 279081 Before After
Age:17.0
Gender:Female
Location:Nevada
Vaccinated:2007-05-16
Onset:2007-05-17
Submitted:2007-05-21
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB148AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2226AA / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B013AA / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash, Pruritus generalised

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 Known
Preexisting Conditions: None
Diagnostic Lab Data: None at this time
CDC 'Split Type':

Write-up:On 5/16/07 received Tdap, #1Hep A, #1HPV and MCV4. On 5/17/07 she felt itchy all over especially her neck area. On 5/18/07 she woke up with a itchy/painful rash from the neck down. Father denies any problems with previous immunizations. Denies ingesting"or ingesting or having contact with anything new. Father has appled Flucocinolone Acetonide 0.025% cream to the rash area a couple of times since it developed. Recommended MD and advised to stop using the Flucocinolone Acetonide 0.025% cream (it had not been prescribe prescribed). Father states that he is taking his son to their family doctor.


Changed on 4/7/2010

VAERS ID: 279081 Before After
Age:17.0
Gender:Female
Location:Nevada
Vaccinated:2007-05-16
Onset:2007-05-17
Submitted:2007-05-21
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB148AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2226AA / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B013AA / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash, Pruritus generalised

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 Known
Preexisting Conditions: None
Diagnostic Lab Data: None at this time
CDC 'Split Type':

Write-up:On 5/16/07 received Tdap, #1Hep A, #1HPV and MCV4. On 5/17/07 she felt itchy all over especially her neck area. On 5/18/07 she woke up with a itchy/painful rash from the neck down. Father denies any problems with previous immunizations. Denies ingesting or having contact with anything new. Father has appled Flucocinolone Acetonide 0.025% cream to the rash area a couple of times since it developed. Recommended MD and advised to stop using the Flucocinolone Acetonide 0.025% cream (it had not been prescribed). Father states that he is taking his son to their family doctor.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279081&WAYBACKHISTORY=ON


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