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This is VAERS ID 279127

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279127
VAERS Form:
Age:9.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-04-26
Onset:2007-04-27
Submitted:2007-04-30
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1281F / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0110U / 1 LA / SC

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:RN received call from school nurse, stating that client was in her office with a rash on the outer aspect of her B/L arms. Rash raised sl, not fluid filled, and itchy. RN called clients mother. Rash was noted 4/27/07 in arm, itchy and raised only located"on B/L arms. Child did not see MD. Rash is now subsiding. Mother instructed to take child to MD if rash worsens.


Changed on 12/8/2009

279127 Before After
VAERS Form:
Age:9.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-04-26
Onset:2007-04-27
Submitted:2007-04-30
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1281F / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0110U / 1 LA / SC

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:RN received call from school nurse, stating that client was in her office with a rash on the outer aspect of her B/L arms. Rash raised sl, not fluid filled, and itchy. RN called clients mother. Rash was noted 4/27/07 in arm, itchy and raised only located"on located on B/L arms. Child did not see MD. Rash is now subsiding. Mother instructed to take child to MD if rash worsens.


Changed on 9/14/2017

279127 Before After
VAERS Form:(blank) 1
Age:9.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-04-26
Onset:2007-04-27
Submitted:2007-04-30
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1281F / 1 2 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0110U / 1 2 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:RN received call from school nurse, stating that client was in her office with a rash on the outer aspect of her B/L arms. Rash raised sl, not fluid filled, and itchy. RN called clients mother. Rash was noted 4/27/07 in arm, itchy and raised only located on B/L arms. Child did not see MD. Rash is now subsiding. Mother instructed to take child to MD if rash worsens.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279127&WAYBACKHISTORY=ON


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