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This is VAERS ID 279474

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279474
Age:12.0
Gender:Female
Location:California
Vaccinated:2007-05-15
Onset:2007-05-17
Submitted:2007-05-18
Entered:2007-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0369U / 1 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Body temperature, Injection site erythema, Injection site induration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Retin-A 0.1% Topical cream
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None ordered
CDC 'Split Type':

Write-up:5/15/07 Child came in for well child exam visit; receiving Varicella and HPV vaccine. 5/17/07: Doctor visit progress notes read as follows: immunization 2 days ago, HPV and Varicella. Sibling also here with similar reaction. Temp 97.2F. Physical examinati"on: 1/2 dollar sized area of induration and erythema left arm at injection site. Adv- Benadryl, rech prn.


Changed on 12/8/2009

VAERS ID: 279474 Before After
Age:12.0
Gender:Female
Location:California
Vaccinated:2007-05-15
Onset:2007-05-17
Submitted:2007-05-18
Entered:2007-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0369U / 1 LA / SC

Administered by: Private      Purchased by: Unknown Other
Symptoms: Body temperature, Injection site erythema, Injection site induration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Retin-A 0.1% Topical cream
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None ordered
CDC 'Split Type':

Write-up:5/15/07 Child came in for well child exam visit; receiving Varicella and HPV vaccine. 5/17/07: Doctor visit progress notes read as follows: immunization 2 days ago, HPV and Varicella. Sibling also here with similar reaction. Temp 97.2F. Physical examinati"on: examination: 1/2 dollar sized area of induration and erythema left arm at injection site. Adv- Benadryl, rech prn.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279474&WAYBACKHISTORY=ON


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