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This is VAERS ID 282409

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282409
Age:10.0
Gender:Female
Location:Georgia
Vaccinated:2007-06-19
Onset:2007-06-19
Submitted:2007-06-20
Entered:2007-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0212U / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0602U / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Varicella

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient was placed on Floxin 0.3% soln. per Dr. on 6/19/07
Current Illness: Pt.came in to see Dr. with c/o lear pain due to swimming and high dived approximately 3 to 4 days
Preexisting Conditions: patient came in on 6/19/07 with c/o left ear pain for the last 3 to 4 days patient was sent to ENT clinc per Dr. then diagnosed as having tympanic membrane perforation
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patients father states /" child had one bumplike area on mid right cheek on the evening of 6/19/07 did not complain about anything, woke up this morning eith several red itchy bumplike areas on forehead and cheeks, only on face nowhere else./" Patient and"her father came to clinic on 6/20/07 to be seen. Dr. examined patient and determined that patient had mild case of chicken pox, and talked with patient and her father medication was ordered for the patient.


Changed on 12/8/2009

VAERS ID: 282409 Before After
Age:10.0
Gender:Female
Location:Georgia
Vaccinated:2007-06-19
Onset:2007-06-19
Submitted:2007-06-20
Entered:2007-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0212U / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0602U / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Varicella

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient was placed on Floxin 0.3% soln. per Dr. on 6/19/07
Current Illness: Pt.came in to see Dr. with c/o lear pain due to swimming and high dived approximately 3 to 4 days
Preexisting Conditions: patient came in on 6/19/07 with c/o left ear pain for the last 3 to 4 days patient was sent to ENT clinc per Dr. then diagnosed as having tympanic membrane perforation
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patients father states /" " child had one bumplike area on mid right cheek on the evening of 6/19/07 did not complain about anything, woke up this morning eith several red itchy bumplike areas on forehead and cheeks, only on face nowhere else./" else." Patient and"her and her father came to clinic on 6/20/07 to be seen. Dr. examined patient and determined that patient had mild case of chicken pox, and talked with patient and her father medication was ordered for the patient.


Changed on 6/13/2012

VAERS ID: 282409 Before After
Age:10.0
Gender:Female
Location:Georgia
Vaccinated:2007-06-19
Onset:2007-06-19
Submitted:2007-06-20
Entered:2007-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0212U / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0602U / 1 RA / SC

Administered by: Unknown Military      Purchased by: Unknown Military
Symptoms: Varicella

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient was placed on Floxin 0.3% soln. per Dr. on 6/19/07 6/19/07.
Current Illness: Pt.came Pt. came in to see Dr. with c/o lear l ear pain due to swimming and high dived approximately 3 to 4 days days.
Preexisting Conditions: patient Patient came in on 6/19/07 with c/o left ear pain for the last 3 to 4 days patient was sent to ENT clinc per Dr. then diagnosed as having tympanic membrane perforation perforation.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patients father states " child "child had one bumplike area on mid right cheek on the evening of 6/19/07 did not complain about anything, woke up this morning eith with several red itchy bumplike areas on forehead and cheeks, only on face nowhere else." Patient and her father came to clinic on 6/20/07 to be seen. Dr. examined patient and determined that patient had mild case of chicken pox, and talked with patient and her father medication was ordered for the patient.


Changed on 6/14/2014

VAERS ID: 282409 Before After
Age:10.0
Gender:Female
Location:Georgia
Vaccinated:2007-06-19
Onset:2007-06-19
Submitted:2007-06-20
Entered:2007-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0212U / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0602U / 1 RA / SC

Administered by: Military      Purchased by: Military
Symptoms: Varicella

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient was placed on Floxin 0.3% soln. per Dr. on 6/19/07.
Current Illness: Pt. came in to see Dr. with c/o l ear pain due to swimming and high dived approximately 3 to 4 days.
Preexisting Conditions: Patient came in on 6/19/07 with c/o left ear pain for the last 3 to 4 days patient was sent to ENT clinc per Dr. then diagnosed as having tympanic membrane perforation.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patients father states "child had one bumplike area on mid right cheek on the evening of 6/19/07 did not complain about anything, woke up this morning with several red itchy bumplike areas on forehead and cheeks, only on face nowhere else." Patient and her father came to clinic on 6/20/07 to be seen. Dr. examined patient and determined that patient had mild case of chicken pox, and talked with patient and her father medication was ordered for the patient.


Changed on 2/14/2017

VAERS ID: 282409 Before After
Age:10.0
Gender:Female
Location:Georgia
Vaccinated:2007-06-19
Onset:2007-06-19
Submitted:2007-06-20
Entered:2007-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0212U / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0602U / 1 RA / SC

Administered by: Military      Purchased by: Military
Symptoms: Varicella

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient was placed on Floxin 0.3% soln. per Dr. on 6/19/07.
Current Illness: Pt. came in to see Dr. with c/o l ear pain due to swimming and high dived approximately 3 to 4 days.
Preexisting Conditions: Patient came in on 6/19/07 with c/o left ear pain for the last 3 to 4 days patient was sent to ENT clinc per Dr. then diagnosed as having tympanic membrane perforation.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patients father states "child had one bumplike area on mid right cheek on the evening of 6/19/07 did not complain about anything, woke up this morning with several red itchy bumplike areas on forehead and cheeks, only on face nowhere else." Patient and her father came to clinic on 6/20/07 to be seen. Dr. examined patient and determined that patient had mild case of chicken pox, and talked with patient and her father medication was ordered for the patient.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282409&WAYBACKHISTORY=ON


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