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This is VAERS ID 279141

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279141
Age:14.0
Gender:Female
Location:Tennessee
Vaccinated:2007-04-23
Onset:0000-00-00
Submitted:2007-04-26
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. 01884 / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 01114 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Myalgia, Oedema peripheral, Induration

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

Write-up:erythema, induration, myalgias, edema of extremities


Changed on 12/8/2009

VAERS ID: 279141 Before After
Age:14.0
Gender:Female
Location:Tennessee
Vaccinated:2007-04-23
Onset:0000-00-00
Submitted:2007-04-26
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. 01884 / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 01114 / 1 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Erythema, Myalgia, Oedema peripheral, Induration

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

Write-up:erythema, induration, myalgias, edema of extremities


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279141&WAYBACKHISTORY=ON


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