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This is VAERS ID 283846

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 283846
Age:14.0
Gender:Female
Location:California
Vaccinated:2007-06-20
Onset:2007-06-21
Submitted:2007-06-25
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B009AA / 5 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0534U / 1 LA / SC

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

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: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:10-12 cm of erythema, mildly swollen and warm at site of Varicella injection


Changed on 12/8/2009

VAERS ID: 283846 Before After
Age:14.0
Gender:Female
Location:California
Vaccinated:2007-06-20
Onset:2007-06-21
Submitted:2007-06-25
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B009AA / 5 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0534U / 1 LA / SC

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

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: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:10-12 cm of erythema, mildly swollen and warm at site of Varicella injection


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283846&WAYBACKHISTORY=ON


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