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This is VAERS ID 283838

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

283838
VAERS Form:
Age:16.0
Gender:Female
Location:Georgia
Vaccinated:2007-06-26
Onset:0000-00-00
Submitted:2007-06-29
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0639U / 1 LA / SC

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:6/26/07 Child received booster Varicella vaccine on 6/28/07 RTC for red swollen L arm at injection site 1 1/2 cm ecchymosis around site, 2/" redness around site. Advised to ice area and take Ibuprofen


Changed on 12/8/2009

283838 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Georgia
Vaccinated:2007-06-26
Onset:0000-00-00
Submitted:2007-06-29
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0639U / 1 LA / SC

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:6/26/07 Child received booster Varicella vaccine on 6/28/07 RTC for red swollen L arm at injection site 1 1/2 cm ecchymosis around site, 2/" 2" redness around site. Advised to ice area and take Ibuprofen


Changed on 9/14/2017

283838 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Georgia
Vaccinated:2007-06-26
Onset:0000-00-00
Submitted:2007-06-29
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 0 1 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0639U / 1 2 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site haemorrhage, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:6/26/07 Child received booster Varicella vaccine on 6/28/07 RTC for red swollen L arm at injection site 1 1/2 cm ecchymosis around site, 2" redness around site. Advised to ice area and take Ibuprofen


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283838&WAYBACKHISTORY=ON


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