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This is VAERS ID 283082

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 283082
Age:11.0
Gender:Female
Location:Washington
Vaccinated:2007-06-12
Onset:2007-06-13
Submitted:0000-00-00
Entered:2007-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 00014U / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2115AA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B015BA / 0 RA / IM

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

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

Write-up:redness pain and swelling around Tdap site R deltoid


Changed on 12/8/2009

VAERS ID: 283082 Before After
Age:11.0
Gender:Female
Location:Washington
Vaccinated:2007-06-12
Onset:2007-06-13
Submitted:0000-00-00
Entered:2007-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 00014U / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2115AA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B015BA / 0 RA / IM

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

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

Write-up:redness pain and swelling around Tdap site R deltoid


Changed on 4/7/2010

VAERS ID: 283082 Before After
Age:11.0
Gender:Female
Location:Washington
Vaccinated:2007-06-12
Onset:2007-06-13
Submitted:0000-00-00
Entered:2007-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 00014U / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2115AA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B015BA / 0 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Injection site swelling

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

Write-up:redness pain and swelling around Tdap site R deltoid


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283082&WAYBACKHISTORY=ON


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