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This is VAERS ID 388387

History of Changes from the VAERS Wayback Machine

First Appeared on 6/2/2010

388387
VAERS Form:
Age:1.0
Gender:Female
Location:Unknown
Vaccinated:1995-09-28
Onset:0000-00-00
Submitted:2010-05-14
Entered:2010-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Varicella

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: Inappropriate schedule of~HPV (Gardasil)~2~13.00~Patient|No adverse effect~HPV (Gardasil)~2~13.00~Patient
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0907USA00184

Write-up:Information has been received from a certified medical assistant via medical records concerning a 4 year old female who on 28-SEP-1995 was vaccinated with the first dose of MMR II. In approximately 1998 the patient developed chicken pox. The outcome was unknown. On 06-AUG-2007 the patient was vaccinated with the second dose of MMR II. Subsequently, the patient had inappropriate schedule of vaccination of GARDASIL (MSD) (WAES# 0905USA00732). Additional information has been requested.


Changed on 6/14/2014

388387 Before After
VAERS Form:
Age:1.0
Gender:Female
Location:Unknown
Vaccinated:1995-09-28
Onset:0000-00-00
Submitted:2010-05-14
Entered:2010-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Varicella

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: Inappropriate schedule of~HPV (Gardasil)~2~13.00~Patient|No adverse effect~HPV (Gardasil)~2~13.00~Patient
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0907USA00184

Write-up:Information has been received from a certified medical assistant via medical records concerning a 4 year old female who on 28-SEP-1995 was vaccinated with the first dose of MMR II. In approximately 1998 the patient developed chicken pox. The outcome was unknown. On 06-AUG-2007 the patient was vaccinated with the second dose of MMR II. Subsequently, the patient had inappropriate schedule of vaccination of GARDASIL (MSD) (WAES# 0905USA00732). Additional information has been requested.


Changed on 2/14/2017

388387 Before After
VAERS Form:
Age:1.0
Gender:Female
Location:Unknown
Vaccinated:1995-09-28
Onset:0000-00-00
Submitted:2010-05-14
Entered:2010-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Varicella

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: Inappropriate schedule of~HPV (Gardasil)~2~13.00~Patient|No adverse effect~HPV (Gardasil)~2~13.00~Patient
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0907USA00184

Write-up:Information has been received from a certified medical assistant via medical records concerning a 4 year old female who on 28-SEP-1995 was vaccinated with the first dose of MMR II. In approximately 1998 the patient developed chicken pox. The outcome was unknown. On 06-AUG-2007 the patient was vaccinated with the second dose of MMR II. Subsequently, the patient had inappropriate schedule of vaccination of GARDASIL (MSD) (WAES# 0905USA00732). Additional information has been requested.


Changed on 4/14/2017

388387 Before After
VAERS Form:
Age:1.0
Gender:Female
Location:Unknown
Vaccinated:1995-09-28
Onset:0000-00-00
Submitted:2010-05-14
Entered:2010-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Varicella

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: Inappropriate schedule of~HPV (Gardasil)~2~13.00~Patient|No adverse effect~HPV (Gardasil)~2~13.00~Patient
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0907USA00184

Write-up:Information has been received from a certified medical assistant via medical records concerning a 4 year old female who on 28-SEP-1995 was vaccinated with the first dose of MMR II. In approximately 1998 the patient developed chicken pox. The outcome was unknown. On 06-AUG-2007 the patient was vaccinated with the second dose of MMR II. Subsequently, the patient had inappropriate schedule of vaccination of GARDASIL (MSD) (WAES# 0905USA00732). Additional information has been requested.


Changed on 9/14/2017

388387 Before After
VAERS Form:(blank) 1
Age:1.0
Gender:Female
Location:Unknown
Vaccinated:1995-09-28
Onset:0000-00-00
Submitted:2010-05-14
Entered:2010-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Varicella

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: Inappropriate schedule of~HPV (Gardasil)~2~13.00~Patient|No adverse effect~HPV (Gardasil)~2~13.00~Patient
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0907USA00184

Write-up:Information has been received from a certified medical assistant via medical records concerning a 4 year old female who on 28-SEP-1995 was vaccinated with the first dose of MMR II. In approximately 1998 the patient developed chicken pox. The outcome was unknown. On 06-AUG-2007 the patient was vaccinated with the second dose of MMR II. Subsequently, the patient had inappropriate schedule of vaccination of GARDASIL (MSD) (WAES# 0905USA00732). Additional information has been requested.


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