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This is VAERS ID 281733

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

281733
VAERS Form:
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2007-06-13
Onset:2007-06-14
Submitted:2007-06-13
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B012AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0453U / 1 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Induration

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:2 inches diameter of redness and firmness located to left upper arm.


Changed on 12/8/2009

281733 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2007-06-13
Onset:2007-06-14
Submitted:2007-06-13
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B012AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0453U / 1 LA / SC

Administered by: Private      Purchased by: Unknown Public
Symptoms: Erythema, Induration

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:2 inches diameter of redness and firmness located to left upper outer arm.


Changed on 9/14/2017

281733 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2007-06-13
Onset:2007-06-14
Submitted:2007-06-13
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 1 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B012AA / 0 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0453U / 1 2 LA / SC

Administered by: Private      Purchased by: Public
Symptoms: Erythema, Induration

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:2 inches diameter of redness and firmness located to left outer arm.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281733&WAYBACKHISTORY=ON


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