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This is VAERS ID 584882

History of Changes from the VAERS Wayback Machine

First Appeared on 7/14/2015

VAERS ID: 584882
VAERS Form:
Age:16.0
Sex:Female
Location:Arizona
Vaccinated:2015-06-30
Onset:2015-07-02
Submitted:2015-07-07
Entered:2015-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L001312 / 0 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 0 LA / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L58154 / 0 RA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. K015993 / 0 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Herpes zoster

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shingles after chickenpox vaccination last week. Tx acyclovir 80mg tab and acyclovir 5% external ointment.


Changed on 9/14/2017

VAERS ID: 584882 Before After
VAERS Form:(blank) 1
Age:16.0
Sex:Female
Location:Arizona
Vaccinated:2015-06-30
Onset:2015-07-02
Submitted:2015-07-07
Entered:2015-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L001312 / 0 1 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 0 1 LA / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L58154 / 0 1 RA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. K015993 / 0 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Herpes zoster

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shingles after chickenpox vaccination last week. Tx acyclovir 80mg tab and acyclovir 5% external ointment.


Changed on 2/14/2018

VAERS ID: 584882 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Arizona
Vaccinated:2015-06-30
Onset:2015-07-02
Submitted:2015-07-07
Entered:2015-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L001312 / 1 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L58154 / 1 RA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. K015993 / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Herpes zoster

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shingles after chickenpox vaccination last week. Tx acyclovir 80mg tab and acyclovir 5% external ointment.


Changed on 6/14/2018

VAERS ID: 584882 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Arizona
Vaccinated:2015-06-30
Onset:2015-07-02
Submitted:2015-07-07
Entered:2015-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L001312 / 1 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L58154 / 1 RA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. K015993 / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Herpes zoster

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shingles after chickenpox vaccination last week. Tx acyclovir 80mg tab and acyclovir 5% external ointment.


Changed on 8/14/2018

VAERS ID: 584882 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Arizona
Vaccinated:2015-06-30
Onset:2015-07-02
Submitted:2015-07-07
Entered:2015-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L001312 / 1 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L58154 / 1 RA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. K015993 / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Herpes zoster

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shingles after chickenpox vaccination last week. Tx acyclovir 80mg tab and acyclovir 5% external ointment.


Changed on 9/14/2018

VAERS ID: 584882 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Arizona
Vaccinated:2015-06-30
Onset:2015-07-02
Submitted:2015-07-07
Entered:2015-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L001312 / 1 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L58154 / 1 RA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. K015993 / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Herpes zoster

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shingles after chickenpox vaccination last week. Tx acyclovir 80mg tab and acyclovir 5% external ointment.


Changed on 10/14/2018

VAERS ID: 584882 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Arizona
Vaccinated:2015-06-30
Onset:2015-07-02
Submitted:2015-07-07
Entered:2015-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L001312 / 1 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L58154 / 1 RA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. K015993 / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Herpes zoster

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shingles after chickenpox vaccination last week. Tx acyclovir 80mg tab and acyclovir 5% external ointment.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=584882&WAYBACKHISTORY=ON


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