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This is VAERS ID 280123

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

280123
VAERS Form:
Age:13.0
Gender:Female
Location:Colorado
Vaccinated:2006-12-14
Onset:2006-12-14
Submitted:2007-05-31
Entered:2007-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0422R / 1 RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site pain, Similar reaction on previous exposure to drug, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Current Illness: none
Preexisting Conditions: rash to amoxicillin and cefaclor, no birth defects or medical conditions
Allergies:
Diagnostic Lab Data: n/a
CDC 'Split Type':

Write-up:Significant pain at injection site immediately upon (and during) both first and second injections (12/14/2006 lot 0688f and 2/16/2007 lot 1447F). Pain decreased rapidly within a minute but ache remained for approximately an hour. Daughter described pain a"s /"worst pain after any injection she''''s ever had/".


Changed on 12/8/2009

280123 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Colorado
Vaccinated:2006-12-14
Onset:2006-12-14
Submitted:2007-05-31
Entered:2007-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0422R / 1 RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site pain, Similar reaction on previous exposure to drug, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Current Illness: none
Preexisting Conditions: rash to amoxicillin and cefaclor, no birth defects or medical conditions
Allergies:
Diagnostic Lab Data: n/a
CDC 'Split Type':

Write-up:Significant pain at injection site immediately upon (and during) both first and second injections (12/14/2006 lot 0688f and 2/16/2007 lot 1447F). Pain decreased rapidly within a minute but ache remained for approximately an hour. Daughter described pain a"s /"worst as "worst pain after any injection she''''s she''s ever had/". had".


Changed on 9/14/2017

280123 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Colorado
Vaccinated:2006-12-14
Onset:2006-12-14
Submitted:2007-05-31
Entered:2007-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 2 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0422R / 1 2 RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site pain, Similar reaction on previous exposure to drug, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Current Illness: none
Preexisting Conditions: rash to amoxicillin and cefaclor, no birth defects or medical conditions
Allergies:
Diagnostic Lab Data: n/a
CDC 'Split Type':

Write-up:Significant pain at injection site immediately upon (and during) both first and second injections (12/14/2006 lot 0688f and 2/16/2007 lot 1447F). Pain decreased rapidly within a minute but ache remained for approximately an hour. Daughter described pain as "worst pain after any injection she''s ever had".


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=280123&WAYBACKHISTORY=ON


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