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This is VAERS ID 280258

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

280258
VAERS Form:
Age:15.0
Gender:Female
Location:Minnesota
Vaccinated:2007-05-22
Onset:2007-05-23
Submitted:2007-06-04
Entered:2007-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. AHAVB149AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 181U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0451U / 1 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Cellulitis

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: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:childs parents brought in sister who had had a vzv injection on 5/22/07 also. the sister had a cellulitis on the arm of the injection. parents reported that this patient had the same type of reaction. the parents were advised to bring this patient in f"or evaluation of reaction. the parents never brought this patient in so the exact reaction is unknown and as far as the office knows no treatment was undertaken. contact with patient and family x2 were attempted, messages left with no response


Changed on 12/8/2009

280258 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Minnesota
Vaccinated:2007-05-22
Onset:2007-05-23
Submitted:2007-06-04
Entered:2007-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. AHAVB149AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 181U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0451U / 1 LA / SC

Administered by: Private      Purchased by: Unknown Public
Symptoms: Cellulitis

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: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:childs parents brought in sister who had had a vzv injection on 5/22/07 also. the sister had a cellulitis on the arm of the injection. parents reported that this patient had the same type of reaction. the parents were advised to bring this patient in f"or for evaluation of reaction. the parents never brought this patient in so the exact reaction is unknown and as far as the office knows no treatment was undertaken. contact with patient and family x2 were attempted, messages left with no response


Changed on 9/14/2017

280258 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Minnesota
Vaccinated:2007-05-22
Onset:2007-05-23
Submitted:2007-06-04
Entered:2007-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. AHAVB149AA / 0 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 181U / 0 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0451U / 1 2 LA / SC

Administered by: Private      Purchased by: Public
Symptoms: Cellulitis

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: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:childs parents brought in sister who had had a vzv injection on 5/22/07 also. the sister had a cellulitis on the arm of the injection. parents reported that this patient had the same type of reaction. the parents were advised to bring this patient in for evaluation of reaction. the parents never brought this patient in so the exact reaction is unknown and as far as the office knows no treatment was undertaken. contact with patient and family x2 were attempted, messages left with no response


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=280258&WAYBACKHISTORY=ON


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