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This is VAERS ID 280085

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

280085
VAERS Form:
Age:12.0
Gender:Female
Location:California
Vaccinated:2007-05-25
Onset:2007-05-27
Submitted:2007-05-30
Entered:2007-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB129AA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. ME0181U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2183AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2720AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0337U / 1 LA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: Pyrexia, Rash, Varicella

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Outbreak of Varicella illness-rash, low grade fever.


Changed on 12/8/2009

280085 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:California
Vaccinated:2007-05-25
Onset:2007-05-27
Submitted:2007-05-30
Entered:2007-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB129AA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. ME0181U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2183AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2720AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0337U / 1 LA / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Pyrexia, Rash, Varicella

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Outbreak of Varicella illness-rash, low grade fever.


Changed on 4/7/2010

280085 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:California
Vaccinated:2007-05-25
Onset:2007-05-27
Submitted:2007-05-30
Entered:2007-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB129AA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. ME0181U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2183AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2720AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0337U / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Pyrexia, Rash, Varicella

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Outbreak of Varicella illness-rash, low grade fever.


Changed on 9/14/2017

280085 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:California
Vaccinated:2007-05-25
Onset:2007-05-27
Submitted:2007-05-30
Entered:2007-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB129AA / 1 2 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. ME0181U / 0 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2183AA / 0 1 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2720AA / 0 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0337U / 1 2 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Pyrexia, Rash, Varicella

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Outbreak of Varicella illness-rash, low grade fever.


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