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This is VAERS ID 284666

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284666
Age:11.0
Gender:Female
Location:Georgia
Vaccinated:2007-07-10
Onset:2007-07-11
Submitted:2007-07-11
Entered:2007-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB149AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2572AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0601U / 1 RA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: Erythema, Oedema peripheral, Skin warm

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

Write-up:No fever, redness, slight swelling, RA, warm to touch, slightly firm advised to go to ER. Treatment per ER physician Claritin, Benadryl, Ibuprofen 200mg.


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