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This is VAERS ID 281733

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 281733
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
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

VAERS ID: 281733 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

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


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Link To This Search Result:

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


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