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This is VAERS ID 284330

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284330
Age:14.0
Gender:Female
Location:Ohio
Vaccinated:2006-12-29
Onset:2006-12-29
Submitted:2007-06-30
Entered:2007-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) / SANOFI PASTEUR U2312AA / - RA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1008F / - LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site bruising, Pyrexia, Injection site swelling

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

Write-up:Fever - 12/29/06, bruising at the injection site 12/30/06, swelling approximately golf size at the injection site - 12/30/06.


Changed on 12/8/2009

VAERS ID: 284330 Before After
Age:14.0
Gender:Female
Location:Ohio
Vaccinated:2006-12-29
Onset:2006-12-29
Submitted:2007-06-30
Entered:2007-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2312AA / - RA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1008F / - LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / - LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Injection site bruising, Pyrexia, Injection site swelling

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

Write-up:Fever - 12/29/06, bruising at the injection site 12/30/06, swelling approximately golf size at the injection site - 12/30/06.


Changed on 7/7/2013

VAERS ID: 284330 Before After
Age:14.0
Gender:Female
Location:Ohio
Vaccinated:2006-12-29
Onset:2006-12-29
Submitted:2007-06-30
Entered:2007-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2312AA / - RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2312AA / - RA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1008F / - LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / - LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site bruising, Pyrexia, Injection site swelling

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

Write-up:Fever - 12/29/06, bruising at the injection site 12/30/06, swelling approximately golf size at the injection site - 12/30/06.


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