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This is VAERS ID 281045

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

281045
VAERS Form:
Age:12.0
Gender:Female
Location:Virginia
Vaccinated:2007-05-29
Onset:2007-05-31
Submitted:2007-06-05
Entered:2007-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0126U / 1 RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site induration, Injection site pain, Pain, Injection site cellulitis

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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:seen 5/31/07 4cm x 5 cm area with induration-severe tenderness (L) deltoid area. Diagnosed with Cellulitis secondary to Gardasil injection. Treated with antibiotic-Augmentin 400 mg chews Ztabs po BID x 10 days. Motrin 2 tabs Q6hrs, as needed for pain.


Changed on 12/8/2009

281045 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Virginia
Vaccinated:2007-05-29
Onset:2007-05-31
Submitted:2007-06-05
Entered:2007-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0126U / 1 RA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Injection site induration, Injection site pain, Pain, Injection site cellulitis

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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:seen 5/31/07 4cm x 5 cm area with induration-severe tenderness (L) deltoid area. Diagnosed with Cellulitis secondary to Gardasil injection. Treated with antibiotic-Augmentin 400 mg chews Ztabs po BID x 10 days. Motrin 2 tabs Q6hrs, as needed for pain.


Changed on 9/14/2017

281045 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Virginia
Vaccinated:2007-05-29
Onset:2007-05-31
Submitted:2007-06-05
Entered:2007-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0126U / 1 2 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Injection site induration, Injection site pain, Pain, Injection site cellulitis

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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:seen 5/31/07 4cm x 5 cm area with induration-severe tenderness (L) deltoid area. Diagnosed with Cellulitis secondary to Gardasil injection. Treated with antibiotic-Augmentin 400 mg chews Ztabs po BID x 10 days. Motrin 2 tabs Q6hrs, as needed for pain.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281045&WAYBACKHISTORY=ON


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