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This is VAERS ID 801449

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2019

VAERS ID: 801449
VAERS Form:2
Age:1.33
Sex:Male
Location:North Carolina
Vaccinated:2019-02-07
Onset:2019-02-08
Submitted:0000-00-00
Entered:2019-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS GD47F / 2 LL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. R013302 / 1 RL / SC

Administered by: Private      Purchased by: ??
Symptoms: Pyrexia, Vomiting, Influenza virus test negative

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D
Current Illness: Anemia diagnosed on 2/7/19
Preexisting Conditions: None
Allergies: NKDA
Diagnostic Lab Data: Flu test at ER - negative results
CDC 'Split Type':

Write-up: 2/7/19 - well visit - VARIVAX and FLULAVAL given. 2/8/19 - phone call from parent - fever "high" no temp avail. gave MOTRIN. 2/9/19 - ER visit high fever Tmax 102.5 exam normal d/c to home. 2/12/19 - phone call from parent - concern for vomiting at 4:30pm. Advice given.


Changed on 12/24/2020

VAERS ID: 801449 Before After
VAERS Form:2
Age:1.33
Sex:Male
Location:North Carolina
Vaccinated:2019-02-07
Onset:2019-02-08
Submitted:0000-00-00
Entered:2019-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS GD47F / 2 LL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. R013302 / 1 RL / SC

Administered by: Private      Purchased by: ??
Symptoms: Pyrexia, Vomiting, Influenza virus test negative

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D
Current Illness: Anemia diagnosed on 2/7/19
Preexisting Conditions: None
Allergies: NKDA NKDA
Diagnostic Lab Data: Flu test at ER - negative results
CDC 'Split Type':

Write-up: 2/7/19 - well visit - VARIVAX and FLULAVAL given. 2/8/19 - phone call from parent - fever "high" no temp avail. gave MOTRIN. 2/9/19 - ER visit high fever Tmax 102.5 exam normal d/c to home. 2/12/19 - phone call from parent - concern for vomiting at 4:30pm. Advice given.


Changed on 12/30/2020

VAERS ID: 801449 Before After
VAERS Form:2
Age:1.33
Sex:Male
Location:North Carolina
Vaccinated:2019-02-07
Onset:2019-02-08
Submitted:0000-00-00
Entered:2019-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS GD47F / 2 LL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. R013302 / 1 RL / SC

Administered by: Private      Purchased by: ??
Symptoms: Pyrexia, Vomiting, Influenza virus test negative

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D
Current Illness: Anemia diagnosed on 2/7/19
Preexisting Conditions: None
Allergies: NKDA NKDA
Diagnostic Lab Data: Flu test at ER - negative results
CDC 'Split Type':

Write-up: 2/7/19 - well visit - VARIVAX and FLULAVAL given. 2/8/19 - phone call from parent - fever "high" no temp avail. gave MOTRIN. 2/9/19 - ER visit high fever Tmax 102.5 exam normal d/c to home. 2/12/19 - phone call from parent - concern for vomiting at 4:30pm. Advice given.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=801449&WAYBACKHISTORY=ON


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