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This is VAERS ID 281918

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 281918
Age:17.0
Gender:Female
Location:Arizona
Vaccinated:2007-06-05
Onset:2007-06-07
Submitted:2007-06-08
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2115AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0114U / 1 RA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site warmth, Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Back Pain, left side
Preexisting Conditions: NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient presented to the clinic with left upper arm redness (10x8cm), warm and tender. Temp=99.3 (ear). (2 days after administration). No treatment - Told to return if worsening redness and pain, or drainage noted.


Changed on 12/8/2009

VAERS ID: 281918 Before After
Age:17.0
Gender:Female
Location:Arizona
Vaccinated:2007-06-05
Onset:2007-06-07
Submitted:2007-06-08
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2115AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0114U / 1 RA / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site warmth, Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Back Pain, left side
Preexisting Conditions: NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient presented to the clinic with left upper arm redness (10x8cm), warm and tender. Temp=99.3 (ear). (2 days after administration). No treatment - Told to return if worsening redness and pain, or drainage noted.


Changed on 4/7/2010

VAERS ID: 281918 Before After
Age:17.0
Gender:Female
Location:Arizona
Vaccinated:2007-06-05
Onset:2007-06-07
Submitted:2007-06-08
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2115AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0114U / 1 RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Body temperature increased, Injection site erythema, Injection site pain, Injection site warmth, Pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Back Pain, left side
Preexisting Conditions: NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient presented to the clinic with left upper arm redness (10x8cm), warm and tender. Temp=99.3 (ear). (2 days after administration). No treatment - Told to return if worsening redness and pain, or drainage noted.


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