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This is VAERS ID 280867

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

280867
VAERS Form:
Age:11.0
Gender:Female
Location:Texas
Vaccinated:2007-05-16
Onset:2007-05-18
Submitted:2007-06-07
Entered:2007-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0001U / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0267F / 1 RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Pain, Rash vesicular, Swelling, Tenderness

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: Retin-A Micro 0.1% Topical Gel
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Very red, swollen, little larger than quarter sized, and tender 05182007, give tyl for pain and apply ice, mom called back on 05252007 to report Chicken pox rash, advised to give her benadryl


Changed on 12/8/2009

280867 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Texas
Vaccinated:2007-05-16
Onset:2007-05-18
Submitted:2007-06-07
Entered:2007-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0001U / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0267F / 1 RA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Erythema, Pain, Rash vesicular, Swelling, Tenderness

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: Retin-A Micro 0.1% Topical Gel
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Very red, swollen, little larger than quarter sized, and tender 05182007, give tyl for pain and apply ice, mom called back on 05252007 to report Chicken pox rash, advised to give her benadryl


Changed on 9/14/2017

280867 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:Texas
Vaccinated:2007-05-16
Onset:2007-05-18
Submitted:2007-06-07
Entered:2007-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0001U / 0 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0267F / 1 2 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pain, Rash vesicular, Swelling, Tenderness

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: Retin-A Micro 0.1% Topical Gel
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Very red, swollen, little larger than quarter sized, and tender 05182007, give tyl for pain and apply ice, mom called back on 05252007 to report Chicken pox rash, advised to give her benadryl


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=280867&WAYBACKHISTORY=ON


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