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This is VAERS ID 284446

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284446
Age:15.0
Gender:Female
Location:Oregon
Vaccinated:2007-07-09
Onset:2007-07-09
Submitted:2007-07-12
Entered:2007-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0442U / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2232AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2689AA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0609U / 1 RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site oedema, Injection site pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz, Claritin D
Current Illness:
Preexisting Conditions: Dysfunctional Uterine bleeding
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Back of R upper arm - redness area 8cm x 4cm with slight edema, pain at site - SQ injection of Varicella


Changed on 12/8/2009

VAERS ID: 284446 Before After
Age:15.0
Gender:Female
Location:Oregon
Vaccinated:2007-07-09
Onset:2007-07-09
Submitted:2007-07-12
Entered:2007-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0442U / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2232AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2689AA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0609U / 1 RA / SC

Administered by: Private      Purchased by: Unknown Public
Symptoms: Injection site erythema, Injection site oedema, Injection site pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz, Claritin D
Current Illness:
Preexisting Conditions: Dysfunctional Uterine bleeding
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Back of R upper arm - redness area 8cm x 4cm with slight edema, pain at site - SQ injection of Varicella


Changed on 4/7/2010

VAERS ID: 284446 Before After
Age:15.0
Gender:Female
Location:Oregon
Vaccinated:2007-07-09
Onset:2007-07-09
Submitted:2007-07-12
Entered:2007-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0442U / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2232AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2689AA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0609U / 1 RA / SC

Administered by: Private      Purchased by: Public
Symptoms: Injection site erythema, Injection site oedema, Injection site pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz, Claritin D
Current Illness:
Preexisting Conditions: Dysfunctional Uterine bleeding
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Back of R upper arm - redness area 8cm x 4cm with slight edema, pain at site - SQ injection of Varicella


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284446&WAYBACKHISTORY=ON


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