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This is VAERS ID 281400

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

281400
VAERS Form:
Age:16.0
Gender:Female
Location:Michigan
Vaccinated:2007-05-03
Onset:0000-00-00
Submitted:2007-06-01
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1309F / 1 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site swelling

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

Write-up:Swelling at injection site.


Changed on 12/8/2009

281400 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Michigan
Vaccinated:2007-05-03
Onset:0000-00-00
Submitted:2007-06-01
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1309F / 1 - / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Injection site swelling

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

Write-up:Swelling at injection site.


Changed on 9/14/2017

281400 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Michigan
Vaccinated:2007-05-03
Onset:0000-00-00
Submitted:2007-06-01
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 1 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1309F / 1 2 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Injection site swelling

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

Write-up:Swelling at injection site.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281400&WAYBACKHISTORY=ON


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