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This is VAERS ID 282154

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282154
VAERS Form:
Age:11.0
Gender:Female
Location:New Jersey
Vaccinated:2007-01-16
Onset:2007-01-29
Submitted:0000-00-00
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB143BA / 0 LA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Full blood count, Infection, Lymphadenopathy, Mononucleosis heterophile test negative, Laboratory test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CBC, Chem panel-Normal 5/07-mono test-negative
CDC 'Split Type':

Write-up:1-16-07 _$g 1st Gardasil + Hep A administered 1-29-07 Infected lymph nodes in neck w/fever Amoxicillin for 10 days. 4-4-07-2nd Gardasil shot only 5-18-07-Infected lymph nodes in neck with fever Amoxicillin-10 days-didnt work-Ceftin 1000


Changed on 12/8/2009

282154 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:New Jersey
Vaccinated:2007-01-16
Onset:2007-01-29
Submitted:0000-00-00
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB143BA / 0 LA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Full blood count, Infection, Lymphadenopathy, Mononucleosis heterophile test negative, Pyrexia, Laboratory test normal, Vaccine positive rechallenge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CBC, Chem panel-Normal 5/07-mono test-negative
CDC 'Split Type':

Write-up:1-16-07 _$g 1st Gardasil + Hep A administered 1-29-07 Infected lymph nodes in neck w/fever Amoxicillin for 10 days. 4-4-07-2nd Gardasil shot only 5-18-07-Infected lymph nodes in neck with fever Amoxicillin-10 days-didnt work-Ceftin 1000


Changed on 9/14/2017

282154 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:New Jersey
Vaccinated:2007-01-16
Onset:2007-01-29
Submitted:0000-00-00
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB143BA / 0 1 LA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 1 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Full blood count, Infection, Lymphadenopathy, Mononucleosis heterophile test negative, Pyrexia, Laboratory test normal, Vaccine positive rechallenge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CBC, Chem panel-Normal 5/07-mono test-negative
CDC 'Split Type':

Write-up:1-16-07 _$g 1st Gardasil + Hep A administered 1-29-07 Infected lymph nodes in neck w/fever Amoxicillin for 10 days. 4-4-07-2nd Gardasil shot only 5-18-07-Infected lymph nodes in neck with fever Amoxicillin-10 days-didnt work-Ceftin 1000


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