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This is VAERS ID 282239

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282239
Age:17.0
Gender:Female
Location:Florida
Vaccinated:2007-05-29
Onset:2007-05-30
Submitted:2007-06-05
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U12135AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Blister, Herpes zoster, Rash

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

Write-up:Vaccines given 5/29/07 and /"blistering/" rash appeared on L back and L abdomen on 5/30/07. Exam consistent with Herpes Zoster


Changed on 12/8/2009

VAERS ID: 282239 Before After
Age:17.0
Gender:Female
Location:Florida
Vaccinated:2007-05-29
Onset:2007-05-30
Submitted:2007-06-05
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U12135AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Blister, Herpes zoster, Rash

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

Write-up:Vaccines given 5/29/07 and /"blistering/" "blistering" rash appeared on L back and L abdomen on 5/30/07. Exam consistent with Herpes Zoster


Changed on 4/7/2010

VAERS ID: 282239 Before After
Age:17.0
Gender:Female
Location:Florida
Vaccinated:2007-05-29
Onset:2007-05-30
Submitted:2007-06-05
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U12135AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blister, Herpes zoster, Rash

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

Write-up:Vaccines given 5/29/07 and "blistering" rash appeared on L back and L abdomen on 5/30/07. Exam consistent with Herpes Zoster


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282239&WAYBACKHISTORY=ON


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