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This is VAERS ID 281915

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 281915
Age:12.0
Gender:Female
Location:Colorado
Vaccinated:2007-06-12
Onset:2007-06-13
Submitted:2007-06-14
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B015AA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0172U / 1 RL / SC

Administered by: Public      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site warmth

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:At site of injection red warm large area 2/" x 1 1/2/"


Changed on 12/8/2009

VAERS ID: 281915 Before After
Age:12.0
Gender:Female
Location:Colorado
Vaccinated:2007-06-12
Onset:2007-06-13
Submitted:2007-06-14
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B015AA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0172U / 1 RL / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Injection site erythema, Injection site warmth

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:At site of injection red warm large area 2/" 2" x 1 1/2/" 1/2"


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281915&WAYBACKHISTORY=ON


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