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This is VAERS ID 283917

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

283917
VAERS Form:
Age:10.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-29
Onset:0000-00-00
Submitted:2007-07-05
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0606U / 1 RA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: None
Current Illness: Well child exam
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Patient and parent noticed right arm swelling after immunization.


Changed on 12/8/2009

283917 Before After
VAERS Form:
Age:10.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-29
Onset:0000-00-00
Submitted:2007-07-05
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0606U / 1 RA / SC

Administered by: Public      Purchased by: Unknown Private
Symptoms: Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: None
Current Illness: Well child exam
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Patient and parent noticed right arm swelling after immunization.


Changed on 9/14/2017

283917 Before After
VAERS Form:(blank) 1
Age:10.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-29
Onset:0000-00-00
Submitted:2007-07-05
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 1 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0606U / 1 2 RA / SC

Administered by: Public      Purchased by: Private
Symptoms: Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: None
Current Illness: Well child exam
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Patient and parent noticed right arm swelling after immunization.


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