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This is VAERS ID 279127

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279127
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: NKDA
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

VAERS ID: 279127 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: NKDA
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.


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Link To This Search Result:

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


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