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This is VAERS ID 133426

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 133426
VAERS Form:
Age:1.7
Sex:Female
Location:New York
Vaccinated:2000-01-12
Onset:0000-00-00
Submitted:2000-01-17
Entered:2000-01-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: TRIPEDIA / CONNAUGHT LABS U0045CA / 5 LL / IM
MMR: MMR II / MSD 0543J / 1 LA / SC
VARCEL: VARIVAX / MSD 1058H / 1 RA / IM

Administered by: ??      Purchased by: Unknown
Symptoms: PAIN INJECT SITE, HYSN INJECT SITE, VASODILAT

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local 5""x6"" reddened, heat and ? tenderness. R/o cellulitis in left thigh, in hospital x 2 days.Tx w/ Keflex & Benadryl


Changed on 12/30/2006

VAERS ID: 133426 Before After
VAERS Form:
Age:1.7
Sex:Female
Location:New York
Vaccinated:2000-01-12
Onset:0000-00-00
Submitted:2000-01-17
Entered:2000-01-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: TRIPEDIA / CONNAUGHT LABS U0045CA / 5 LL / IM
MMR: MMR II / MSD 0543J / 1 LA / SC
VARCEL: VARIVAX / MSD 1058H / 1 RA / IM

Administered by: ??      Purchased by: Unknown
Symptoms: PAIN INJECT SITE, HYSN INJECT SITE, VASODILAT

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local 5""x6"" 5/"x6/" reddened, heat and ? tenderness. R/o cellulitis in left thigh, in hospital x 2 days.Tx w/ Keflex & Benadryl


Changed on 12/8/2009

VAERS ID: 133426 Before After
VAERS Form:
Age:1.7
Sex:Female
Location:New York
Vaccinated:2000-01-12
Onset:0000-00-00
Submitted:2000-01-17
Entered:2000-01-28 2000-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: TRIPEDIA DTAP (TRIPEDIA) / CONNAUGHT LABS CONNAUGHT LABORATORIES U0045CA / 5 LL / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0543J / 1 LA / SC
VARCEL: VARIVAX VARICELLA (VARIVAX) / MSD MERCK & CO. INC. 1058H / 1 RA / IM

Administered by: ??      Purchased by: Unknown (blank)
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation, PAIN INJECT SITE, HYSN INJECT SITE, VASODILAT

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local 5/"x6/" 5"x6" reddened, heat and ? tenderness. R/o cellulitis in left thigh, in hospital x 2 days.Tx w/ Keflex & Benadryl


Changed on 5/14/2017

VAERS ID: 133426 Before After
VAERS Form:
Age:1.7
Sex:Female
Location:New York
Vaccinated:2000-01-12
Onset:0000-00-00 2000-01-13
Submitted:2000-01-17
Entered:2000-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0045CA / 5 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0543J / 1 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1058H / 1 RA / IM

Administered by: (blank) Other      Purchased by: (blank) Other
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local 5"x6" reddened, heat and ? tenderness. R/o cellulitis in left thigh, in hospital x 2 days.Tx w/ Keflex & Benadryl Benadryl. Discharge summary states final diagnosis to be left thigh cellulitis versus local reaction from vaccine.


Changed on 9/14/2017

VAERS ID: 133426 Before After
VAERS Form:(blank) 1
Age:1.7
Sex:Female
Location:New York
Vaccinated:2000-01-12
Onset:2000-01-13
Submitted:2000-01-17
Entered:2000-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0045CA / 5 6 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0543J / 1 2 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1058H / 1 2 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local 5"x6" reddened, heat and ? tenderness. R/o cellulitis in left thigh, in hospital x 2 days.Tx w/ Keflex & Benadryl. Discharge summary states final diagnosis to be left thigh cellulitis versus local reaction from vaccine.


Changed on 2/14/2018

VAERS ID: 133426 Before After
VAERS Form:1
Age:1.7
Sex:Female
Location:New York
Vaccinated:2000-01-12
Onset:2000-01-13
Submitted:2000-01-17
Entered:2000-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0045CA / 6 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0543J / 2 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1058H / 2 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local 5"x6" reddened, heat and ? tenderness. R/o cellulitis in left thigh, in hospital x 2 days.Tx w/ Keflex & Benadryl. Discharge summary states final diagnosis to be left thigh cellulitis versus local reaction from vaccine.


Changed on 6/14/2018

VAERS ID: 133426 Before After
VAERS Form:1
Age:1.7
Sex:Female
Location:New York
Vaccinated:2000-01-12
Onset:2000-01-13
Submitted:2000-01-17
Entered:2000-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0045CA / 6 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0543J / 2 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1058H / 2 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local 5"x6" reddened, heat and ? tenderness. R/o cellulitis in left thigh, in hospital x 2 days.Tx w/ Keflex & Benadryl. Discharge summary states final diagnosis to be left thigh cellulitis versus local reaction from vaccine.


Changed on 8/14/2018

VAERS ID: 133426 Before After
VAERS Form:1
Age:1.7
Sex:Female
Location:New York
Vaccinated:2000-01-12
Onset:2000-01-13
Submitted:2000-01-17
Entered:2000-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0045CA / 6 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0543J / 2 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1058H / 2 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local 5"x6" reddened, heat and ? tenderness. R/o cellulitis in left thigh, in hospital x 2 days.Tx w/ Keflex & Benadryl. Discharge summary states final diagnosis to be left thigh cellulitis versus local reaction from vaccine.


Changed on 9/14/2018

VAERS ID: 133426 Before After
VAERS Form:1
Age:1.7
Sex:Female
Location:New York
Vaccinated:2000-01-12
Onset:2000-01-13
Submitted:2000-01-17
Entered:2000-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0045CA / 6 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0543J / 2 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1058H / 2 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local 5"x6" reddened, heat and ? tenderness. R/o cellulitis in left thigh, in hospital x 2 days.Tx w/ Keflex & Benadryl. Discharge summary states final diagnosis to be left thigh cellulitis versus local reaction from vaccine.


Changed on 10/14/2018

VAERS ID: 133426 Before After
VAERS Form:1
Age:1.7
Sex:Female
Location:New York
Vaccinated:2000-01-12
Onset:2000-01-13
Submitted:2000-01-17
Entered:2000-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0045CA / 6 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0543J / 2 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1058H / 2 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local 5"x6" reddened, heat and ? tenderness. R/o cellulitis in left thigh, in hospital x 2 days.Tx w/ Keflex & Benadryl. Discharge summary states final diagnosis to be left thigh cellulitis versus local reaction from vaccine.


Changed on 12/24/2020

VAERS ID: 133426 Before After
VAERS Form:1
Age:1.7
Sex:Female
Location:New York
Vaccinated:2000-01-12
Onset:2000-01-13
Submitted:2000-01-17
Entered:2000-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0045CA / 6 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0543J / 2 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1058H / 2 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local 5"x6" reddened, heat and ? tenderness. R/o cellulitis in left thigh, in hospital x 2 days.Tx w/ Keflex & Benadryl. Discharge summary states final diagnosis to be left thigh cellulitis versus local reaction from vaccine.


Changed on 12/30/2020

VAERS ID: 133426 Before After
VAERS Form:1
Age:1.7
Sex:Female
Location:New York
Vaccinated:2000-01-12
Onset:2000-01-13
Submitted:2000-01-17
Entered:2000-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0045CA / 6 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0543J / 2 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1058H / 2 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local 5"x6" reddened, heat and ? tenderness. R/o cellulitis in left thigh, in hospital x 2 days.Tx w/ Keflex & Benadryl. Discharge summary states final diagnosis to be left thigh cellulitis versus local reaction from vaccine.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=133426&WAYBACKHISTORY=ON


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