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This is VAERS ID 282710

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282710
Age:10.0
Gender:Female
Location:California
Vaccinated:2007-06-19
Onset:2007-06-19
Submitted:2007-06-21
Entered:2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B009AA / - LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 LA / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1250F / - LA / SC

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Redness, heat and mild swelling to left upper arm at injection site. Denies pain.


Changed on 12/8/2009

VAERS ID: 282710 Before After
Age:10.0
Gender:Female
Location:California
Vaccinated:2007-06-19
Onset:2007-06-19
Submitted:2007-06-21
Entered:2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B009AA / - LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 LA / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1250F / - LA / SC

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Redness, heat and mild swelling to left upper arm at injection site. Denies pain.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282710&WAYBACKHISTORY=ON


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