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This is VAERS ID 284326

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284326
VAERS Form:
Age:11.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-29
Onset:2007-05-30
Submitted:2007-06-08
Entered:2007-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / - 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:1 day after injection, patient had erythema and induration measuring 2x3 inches on R upper arm.


Changed on 12/8/2009

284326 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-29
Onset:2007-05-30
Submitted:2007-06-08
Entered:2007-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / - 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:1 day after injection, patient had erythema and induration measuring 2x3 inches on R upper arm.


Changed on 9/14/2017

284326 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-29
Onset:2007-05-30
Submitted:2007-06-08
Entered:2007-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / - UNK 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:1 day after injection, patient had erythema and induration measuring 2x3 inches on R upper arm.


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