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This is VAERS ID 283856

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

283856
VAERS Form:
Age:13.0
Gender:Female
Location:Maine
Vaccinated:2007-06-11
Onset:2007-07-02
Submitted:2007-07-02
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2327AA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0362U / 1 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash papular

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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:papules on back noted on 07/02/07 low grade fever.


Changed on 12/8/2009

283856 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Maine
Vaccinated:2007-06-11
Onset:2007-07-02
Submitted:2007-07-02
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2327AA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0362U / 1 LA / SC

Administered by: Private      Purchased by: Unknown Other
Symptoms: Pyrexia, Rash papular

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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:papules on back noted on 07/02/07 low grade fever.


Changed on 4/7/2010

283856 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Maine
Vaccinated:2007-06-11
Onset:2007-07-02
Submitted:2007-07-02
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2327AA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0362U / 1 LA / SC

Administered by: Private      Purchased by: Other
Symptoms: Pyrexia, Rash papular

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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:papules on back noted on 07/02/07 low grade fever.


Changed on 9/14/2017

283856 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Maine
Vaccinated:2007-06-11
Onset:2007-07-02
Submitted:2007-07-02
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 0 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2327AA / 0 1 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0362U / 1 2 LA / SC

Administered by: Private      Purchased by: Other
Symptoms: Pyrexia, Rash papular

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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:papules on back noted on 07/02/07 low grade fever.


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