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This is VAERS ID 284013

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284013
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-06-25
Onset:2007-06-28
Submitted:2007-07-06
Entered:2007-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0644U / 1 RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, 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:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Red, hard, tender over right tricep --$g 4-5cm diameter. Reassurance ice pack/ Motrin.


Changed on 12/8/2009

VAERS ID: 284013 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-06-25
Onset:2007-06-28
Submitted:2007-07-06
Entered:2007-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0644U / 1 RA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Erythema, 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:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Red, hard, tender over right tricep --$g 4-5cm diameter. Reassurance ice pack/ Motrin.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284013&WAYBACKHISTORY=ON


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