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This is VAERS ID 281108

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 281108
Age:14.0
Gender:Female
Location:California
Vaccinated:2007-05-11
Onset:2007-06-01
Submitted:2007-06-15
Entered:2007-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 1 LA / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2082AA / 0 RA / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0369U / 0 LA / -

Administered by: Public      Purchased by: Unknown
Symptoms: Varicella, Varicella post vaccine

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: thyroid goiter
Diagnostic Lab Data: vv
CDC 'Split Type':

Write-up:Patient had chickenpox after receiving varicella immunization. Had mild amount of involvement of legs, chrisind face.


Changed on 4/7/2010

VAERS ID: 281108 Before After
Age:14.0
Gender:Female
Location:California
Vaccinated:2007-05-11
Onset:2007-06-01
Submitted:2007-06-15
Entered:2007-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 1 LA / -
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2082AA / 0 RA / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0369U / 0 LA / -

Administered by: Public      Purchased by: Unknown
Symptoms: Varicella, Varicella post vaccine

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: thyroid goiter
Diagnostic Lab Data: vv
CDC 'Split Type':

Write-up:Patient had chickenpox after receiving varicella immunization. Had mild amount of involvement of legs, chrisind face.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281108&WAYBACKHISTORY=ON


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