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This is VAERS ID 282875

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282875
Age:14.0
Gender:Female
Location:New Mexico
Vaccinated:2007-06-13
Onset:2007-06-14
Submitted:2007-06-19
Entered:2007-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 1 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0339U / 1 LA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling

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

Write-up:On 6/13/07 client was given Gardasil and VAR vaccines at public health office. Family reports client began to have reaction to VAR on 6/14, came to this office 6/15 reporting pain, swelling, itching around site of Varicella vaccine (L) arm-This area, redd"ened, hot with swelling noted by nurse. They returned that afternoon, reaction somewhat larger, client had headache, itching arm pain. Referred to MD, began antibiotics that eve. soon improved. Resolved by 6/19/07.


Changed on 12/8/2009

VAERS ID: 282875 Before After
Age:14.0
Gender:Female
Location:New Mexico
Vaccinated:2007-06-13
Onset:2007-06-14
Submitted:2007-06-19
Entered:2007-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 1 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0339U / 1 LA / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site pruritus, 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:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:On 6/13/07 client was given Gardasil and VAR vaccines at public health office. Family reports client began to have reaction to VAR on 6/14, came to this office 6/15 reporting pain, swelling, itching around site of Varicella vaccine (L) arm-This area, redd"ened, reddened, hot with swelling noted by nurse. They returned that afternoon, reaction somewhat larger, client had headache, itching arm pain. Referred to MD, began antibiotics that eve. soon improved. Resolved by 6/19/07.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282875&WAYBACKHISTORY=ON


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