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This is VAERS ID 282973

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282973
VAERS Form:
Age:9.0
Gender:Female
Location:Arizona
Vaccinated:2007-06-18
Onset:2007-06-19
Submitted:2007-06-20
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. L425F / 0 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0308U / 1 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Large erythematous, indurated area at site of vaccination. Area about 5 cm diameter today, was larger on 6/19/07 per mom.


Changed on 12/8/2009

282973 Before After
VAERS Form:
Age:9.0
Gender:Female
Location:Arizona
Vaccinated:2007-06-18
Onset:2007-06-19
Submitted:2007-06-20
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. L425F / 0 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0308U / 1 - / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Injection site erythema, Injection site induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Large erythematous, indurated area at site of vaccination. Area about 5 cm diameter today, was larger on 6/19/07 per mom.


Changed on 9/14/2017

282973 Before After
VAERS Form:(blank) 1
Age:9.0
Gender:Female
Location:Arizona
Vaccinated:2007-06-18
Onset:2007-06-19
Submitted:2007-06-20
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. L425F / 0 1 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0308U / 1 2 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Large erythematous, indurated area at site of vaccination. Area about 5 cm diameter today, was larger on 6/19/07 per mom.


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