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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
VAERS Form:
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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: none
Preexisting Conditions: anxiety
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 12/8/2009

VAERS ID: 279141 Before After
VAERS Form:
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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: none
Preexisting Conditions: anxiety
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 9/14/2017

VAERS ID: 279141 Before After
VAERS Form:(blank) 1
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 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01884 / 0 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 01114 / 1 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: none
Preexisting Conditions: anxiety
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 2/14/2018

VAERS ID: 279141 Before After
VAERS Form:1
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 / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01884 / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 01114 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: none
Preexisting Conditions: anxiety
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 6/14/2018

VAERS ID: 279141 Before After
VAERS Form:1
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 / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01884 / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 01114 / 2 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: none
Preexisting Conditions: anxiety
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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

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


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