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This is VAERS ID 282262

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282262
VAERS Form:
Age:12.0
Gender:Female
Location:New Jersey
Vaccinated:2007-06-01
Onset:2007-06-02
Submitted:2007-06-11
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 0 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 RA / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2225AA / 0 LA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2632AA / 5 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site warmth, Injection site cellulitis, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:L arm swollen and warm after vaccination - DX with cellulitis - Tx with Cefzil 500 BID


Changed on 12/8/2009

282262 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:New Jersey
Vaccinated:2007-06-01
Onset:2007-06-02
Submitted:2007-06-11
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 0 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 RA / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2225AA / 0 LA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2632AA / 5 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Injection site warmth, Injection site cellulitis, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:L arm swollen and warm after vaccination - DX with cellulitis - Tx with Cefzil 500 BID


Changed on 4/7/2010

282262 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:New Jersey
Vaccinated:2007-06-01
Onset:2007-06-02
Submitted:2007-06-11
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 0 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 RA / -
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2225AA / 0 LA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2632AA / 5 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Injection site warmth, Injection site cellulitis, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:L arm swollen and warm after vaccination - DX with cellulitis - Tx with Cefzil 500 BID


Changed on 9/14/2017

282262 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:New Jersey
Vaccinated:2007-06-01
Onset:2007-06-02
Submitted:2007-06-11
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 0 1 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 1 RA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2225AA / 0 1 LA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2632AA / 5 6 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Injection site warmth, Injection site cellulitis, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:L arm swollen and warm after vaccination - DX with cellulitis - Tx with Cefzil 500 BID


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