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This is VAERS ID 279941

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279941
Age:16.0
Gender:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-22
Entered:2007-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 03666 / 0 LA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria

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

Write-up:26 hr after receiving varicella vaccine at our office pt. c/o Red hive like reaction at injections site-very itchy, given oral Benadryl-calamine to hive like rash with some relief-to continue this until gone or if worse refer to private provider. 5-22-07"parent reports 1 hive like rash-itchy remains at injection site


Changed on 12/8/2009

VAERS ID: 279941 Before After
Age:16.0
Gender:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-22
Entered:2007-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 03666 / 0 LA / SC

Administered by: Public      Purchased by: Unknown Private
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria

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

Write-up:26 hr after receiving varicella vaccine at our office clinic pt. c/o Red hive like reaction at injections site-very itchy, given oral Benadryl-calamine to hive like rash with some relief-to continue this until gone or if worse refer to private provider. 5-22-07"parent 5-22-07 parent reports 1 hive like rash-itchy remains at injection site


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279941&WAYBACKHISTORY=ON


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