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This is VAERS ID 321327

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

321327
VAERS Form:
Age:14.0
Gender:Female
Location:Oregon
Vaccinated:2008-07-30
Onset:2008-07-30
Submitted:2008-07-30
Entered:2008-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB715 / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0328X / 1 RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Fatigue

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: SEROQUEL, fluoxetine, DAYTRANA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 7-31-08 9:00am F/U call pt. doing better
CDC 'Split Type':

Write-up:Mom called & stated pt. was feeling very tired after having GARDASIL inj. No other sx''''s. Advised to call if Sx change or worsen.


Changed on 12/8/2009

321327 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Oregon
Vaccinated:2008-07-30
Onset:2008-07-30
Submitted:2008-07-30
Entered:2008-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB715 / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0328X / 1 RA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Fatigue

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: SEROQUEL, fluoxetine, DAYTRANA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 7-31-08 9:00am F/U call pt. doing better
CDC 'Split Type':

Write-up:Mom called & stated pt. was feeling very tired after having GARDASIL inj. No other sx''''s. sx''s. Advised to call if Sx change or worsen.


Changed on 9/14/2017

321327 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Oregon
Vaccinated:2008-07-30
Onset:2008-07-30
Submitted:2008-07-30
Entered:2008-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB715 / 1 2 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0328X / 1 2 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Fatigue

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: SEROQUEL, fluoxetine, DAYTRANA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 7-31-08 9:00am F/U call pt. doing better
CDC 'Split Type':

Write-up:Mom called & stated pt. was feeling very tired after having GARDASIL inj. No other sx''s. Advised to call if Sx change or worsen.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=321327&WAYBACKHISTORY=ON


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