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This is VAERS ID 283896

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 283896
Age:11.0
Gender:Female
Location:Georgia
Vaccinated:2007-07-03
Onset:2007-07-04
Submitted:2007-07-05
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2B2UAA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B0118BA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0115U / 1 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Neck pain, Tenderness

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

Write-up:6CM AREA OF ERYTHEMA, TENDERNESS TO LEFT ARM. SLIGHT NECK PAIN, BUT FULL RANGE OF MOTION


Changed on 12/8/2009

VAERS ID: 283896 Before After
Age:11.0
Gender:Female
Location:Georgia
Vaccinated:2007-07-03
Onset:2007-07-04
Submitted:2007-07-05
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2B2UAA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B0118BA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0115U / 1 LA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Erythema, Neck pain, Tenderness

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

Write-up:6CM AREA OF ERYTHEMA, TENDERNESS TO LEFT ARM. SLIGHT NECK PAIN, BUT FULL RANGE OF MOTION


Changed on 4/7/2010

VAERS ID: 283896 Before After
Age:11.0
Gender:Female
Location:Georgia
Vaccinated:2007-07-03
Onset:2007-07-04
Submitted:2007-07-05
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2B2UAA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B0118BA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0115U / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Neck pain, Tenderness

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

Write-up:6CM AREA OF ERYTHEMA, TENDERNESS TO LEFT ARM. SLIGHT NECK PAIN, BUT FULL RANGE OF MOTION


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283896&WAYBACKHISTORY=ON


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