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This is VAERS ID 282768

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282768
Age:15.0
Gender:Female
Location:California
Vaccinated:2007-06-09
Onset:2007-06-11
Submitted:2007-06-15
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0210U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2227AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0600U / 1 RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Asthma, Oedema peripheral

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

Write-up:Swollen right arm, asthma attack on 6-13-07.


Changed on 12/8/2009

VAERS ID: 282768 Before After
Age:15.0
Gender:Female
Location:California
Vaccinated:2007-06-09
Onset:2007-06-11
Submitted:2007-06-15
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0210U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2227AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0600U / 1 RA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Asthma, Oedema peripheral

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

Write-up:Swollen right arm, asthma attack on 6-13-07.


Changed on 4/7/2010

VAERS ID: 282768 Before After
Age:15.0
Gender:Female
Location:California
Vaccinated:2007-06-09
Onset:2007-06-11
Submitted:2007-06-15
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0210U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2227AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0600U / 1 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Asthma, Oedema peripheral

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

Write-up:Swollen right arm, asthma attack on 6-13-07.


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