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This is VAERS ID 284324

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284324
VAERS Form:
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-28
Onset:2007-06-29
Submitted:2007-07-05
Entered:2007-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0451U / 1 RA / SC

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Induration

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:R arm, 5x3 cm zone of erythema, induration this was measured 2 days after the injection.


Changed on 12/8/2009

284324 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-28
Onset:2007-06-29
Submitted:2007-07-05
Entered:2007-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0451U / 1 RA / SC

Administered by: Other      Purchased by: Unknown Public
Symptoms: Erythema, Induration

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:R arm, 5x3 cm zone of erythema, induration this was measured 2 days after the injection.


Changed on 9/14/2017

284324 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-28
Onset:2007-06-29
Submitted:2007-07-05
Entered:2007-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0451U / 1 2 RA / SC

Administered by: Other      Purchased by: Public
Symptoms: Erythema, Induration

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:R arm, 5x3 cm zone of erythema, induration this was measured 2 days after the injection.


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