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This is VAERS ID 624309

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2016

VAERS ID: 624309
VAERS Form:
Age:1.5
Gender:Female
Location:Vermont
Vaccinated:2016-02-15
Onset:2016-02-15
Submitted:2016-02-29
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS X9LB7 / 0 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K014833 / 0 LL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. L026408 / 0 RL / SC

Administered by: Public      Purchased by: Public
Symptoms: Injection site infection, Injection site swelling, Circumstance or information capable of leading to medication error

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: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: During immunization visit as the Varicella vaccine was being injected the child moved and vaccine was injected too shallow. At the time child appeared to be OK and we planned to repeat vaccine at a later date. One week later the parent called and informed us that a week after she had taken the child to a provider after the site become swollen. The provider said to the parent that the site may have had an infection and treated the child with antibiotics. The parent said the swelling was now going down.


Changed on 2/14/2017

VAERS ID: 624309 Before After
VAERS Form:
Age:1.5 1.52
Gender:Female
Location:Vermont
Vaccinated:2016-02-15
Onset:2016-02-15
Submitted:2016-02-29
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS X9LB7 / 0 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K014833 / 0 LL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. L026408 / 0 RL / SC

Administered by: Public      Purchased by: Public
Symptoms: Injection site infection, Injection site swelling, Circumstance or information capable of leading to medication error

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: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: During immunization visit as the Varicella vaccine was being injected the child moved and vaccine was injected too shallow. At the time child appeared to be OK and we planned to repeat vaccine at a later date. One week later the parent called and informed us that a week after she had taken the child to a provider after the site become swollen. The provider said to the parent that the site may have had an infection and treated the child with antibiotics. The parent said the swelling was now going down.


Changed on 9/14/2017

VAERS ID: 624309 Before After
VAERS Form:(blank) 1
Age:1.52
Gender:Female
Location:Vermont
Vaccinated:2016-02-15
Onset:2016-02-15
Submitted:2016-02-29
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS X9LB7 / 0 1 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K014833 / 0 1 LL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. L026408 / 0 1 RL / SC

Administered by: Public      Purchased by: Public
Symptoms: Injection site infection, Injection site swelling, Circumstance or information capable of leading to medication error

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: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: During immunization visit as the Varicella vaccine was being injected the child moved and vaccine was injected too shallow. At the time child appeared to be OK and we planned to repeat vaccine at a later date. One week later the parent called and informed us that a week after she had taken the child to a provider after the site become swollen. The provider said to the parent that the site may have had an infection and treated the child with antibiotics. The parent said the swelling was now going down.


Changed on 2/14/2018

VAERS ID: 624309 Before After
VAERS Form:1
Age:1.52
Gender:Female
Location:Vermont
Vaccinated:2016-02-15
Onset:2016-02-15
Submitted:2016-02-29
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS X9LB7 / 1 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K014833 / 1 LL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. L026408 / 1 RL / SC

Administered by: Public      Purchased by: Public
Symptoms: Injection site infection, Injection site swelling, Circumstance or information capable of leading to medication error

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: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: During immunization visit as the Varicella vaccine was being injected the child moved and vaccine was injected too shallow. At the time child appeared to be OK and we planned to repeat vaccine at a later date. One week later the parent called and informed us that a week after she had taken the child to a provider after the site become swollen. The provider said to the parent that the site may have had an infection and treated the child with antibiotics. The parent said the swelling was now going down.


Changed on 6/14/2018

VAERS ID: 624309 Before After
VAERS Form:1
Age:1.52
Gender:Female
Location:Vermont
Vaccinated:2016-02-15
Onset:2016-02-15
Submitted:2016-02-29
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS X9LB7 / 1 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K014833 / 1 LL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. L026408 / 1 RL / SC

Administered by: Public      Purchased by: Public
Symptoms: Injection site infection, Injection site swelling, Circumstance or information capable of leading to medication error

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: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: During immunization visit as the Varicella vaccine was being injected the child moved and vaccine was injected too shallow. At the time child appeared to be OK and we planned to repeat vaccine at a later date. One week later the parent called and informed us that a week after she had taken the child to a provider after the site become swollen. The provider said to the parent that the site may have had an infection and treated the child with antibiotics. The parent said the swelling was now going down.


Changed on 8/14/2018

VAERS ID: 624309 Before After
VAERS Form:1
Age:1.52
Gender:Female
Location:Vermont
Vaccinated:2016-02-15
Onset:2016-02-15
Submitted:2016-02-29
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS X9LB7 / 1 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K014833 / 1 LL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. L026408 / 1 RL / SC

Administered by: Public      Purchased by: Public
Symptoms: Injection site infection, Injection site swelling, Circumstance or information capable of leading to medication error

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: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: During immunization visit as the Varicella vaccine was being injected the child moved and vaccine was injected too shallow. At the time child appeared to be OK and we planned to repeat vaccine at a later date. One week later the parent called and informed us that a week after she had taken the child to a provider after the site become swollen. The provider said to the parent that the site may have had an infection and treated the child with antibiotics. The parent said the swelling was now going down.


Changed on 9/14/2018

VAERS ID: 624309 Before After
VAERS Form:1
Age:1.52
Gender:Female
Location:Vermont
Vaccinated:2016-02-15
Onset:2016-02-15
Submitted:2016-02-29
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS X9LB7 / 1 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K014833 / 1 LL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. L026408 / 1 RL / SC

Administered by: Public      Purchased by: Public
Symptoms: Injection site infection, Injection site swelling, Circumstance or information capable of leading to medication error

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: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: During immunization visit as the Varicella vaccine was being injected the child moved and vaccine was injected too shallow. At the time child appeared to be OK and we planned to repeat vaccine at a later date. One week later the parent called and informed us that a week after she had taken the child to a provider after the site become swollen. The provider said to the parent that the site may have had an infection and treated the child with antibiotics. The parent said the swelling was now going down.

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