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This is VAERS ID 83686

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 83686
VAERS Form:
Age:35.0
Sex:Female
Location:New Jersey
Vaccinated:1996-01-03
Onset:1996-01-15
Submitted:1996-02-23
Entered:1996-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARIVAX / MSD 0904B / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, HYSN INJECT SITE, CELLULITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 22JAN96 varicella zoster Ab IgM <20 (reference range <20); CBC w/diff-result WNL x/mono abs elevated 0.84;24JAN96 varicella ABIgG 0.21 (reference range 0.15-0.28 low positive); 5FEB96 varicella ABIgG 0.25;varicellal zoster AbIgM <20
CDC 'Split Type':

Write-up: pt devel fever, cellulitis @ inj site, & erythematous lesions 12 days p/1 dose of vax given


Changed on 12/8/2009

VAERS ID: 83686 Before After
VAERS Form:
Age:35.0
Sex:Female
Location:New Jersey
Vaccinated:1996-01-03
Onset:1996-01-15
Submitted:1996-02-23
Entered:1996-03-19 1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARIVAX VARICELLA (VARIVAX) / MSD MERCK & CO. INC. 0904B / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Injection site hypersensitivity, Pyrexia, FEVER, HYSN INJECT SITE, CELLULITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 22JAN96 varicella zoster Ab IgM <20 (reference range <20); CBC w/diff-result WNL x/mono abs elevated 0.84;24JAN96 varicella ABIgG 0.21 (reference range 0.15-0.28 low positive); 5FEB96 varicella ABIgG 0.25;varicellal zoster AbIgM <20
CDC 'Split Type':

Write-up: pt devel fever, cellulitis @ inj site, & erythematous lesions 12 days p/1 dose of vax given


Changed on 5/14/2017

VAERS ID: 83686 Before After
VAERS Form:
Age:35.0
Sex:Female
Location:New Jersey
Vaccinated:1996-01-03
Onset:1996-01-15
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0904B / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Injection site hypersensitivity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 22JAN96 varicella zoster Ab IgM <20 (reference range <20); CBC w/diff-result WNL x/mono abs elevated 0.84;24JAN96 varicella ABIgG 0.21 (reference range 0.15-0.28 low positive); 5FEB96 varicella ABIgG 0.25;varicellal zoster AbIgM <20
CDC 'Split Type':

Write-up: pt devel fever, cellulitis @ inj site, & erythematous lesions 12 days p/1 dose of vax given


Changed on 9/14/2017

VAERS ID: 83686 Before After
VAERS Form:(blank) 1
Age:35.0
Sex:Female
Location:New Jersey
Vaccinated:1996-01-03
Onset:1996-01-15
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0904B / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Injection site hypersensitivity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 22JAN96 varicella zoster Ab IgM <20 (reference range <20); CBC w/diff-result WNL x/mono abs elevated 0.84;24JAN96 varicella ABIgG 0.21 (reference range 0.15-0.28 low positive); 5FEB96 varicella ABIgG 0.25;varicellal zoster AbIgM <20
CDC 'Split Type':

Write-up: pt devel fever, cellulitis @ inj site, & erythematous lesions 12 days p/1 dose of vax given


Changed on 2/14/2018

VAERS ID: 83686 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:New Jersey
Vaccinated:1996-01-03
Onset:1996-01-15
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0904B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Injection site hypersensitivity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 22JAN96 varicella zoster Ab IgM <20 (reference range <20); CBC w/diff-result WNL x/mono abs elevated 0.84;24JAN96 varicella ABIgG 0.21 (reference range 0.15-0.28 low positive); 5FEB96 varicella ABIgG 0.25;varicellal zoster AbIgM <20
CDC 'Split Type':

Write-up: pt devel fever, cellulitis @ inj site, & erythematous lesions 12 days p/1 dose of vax given


Changed on 6/14/2018

VAERS ID: 83686 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:New Jersey
Vaccinated:1996-01-03
Onset:1996-01-15
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0904B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Injection site hypersensitivity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 22JAN96 varicella zoster Ab IgM <20 (reference range <20); CBC w/diff-result WNL x/mono abs elevated 0.84;24JAN96 varicella ABIgG 0.21 (reference range 0.15-0.28 low positive); 5FEB96 varicella ABIgG 0.25;varicellal zoster AbIgM <20
CDC 'Split Type':

Write-up: pt devel fever, cellulitis @ inj site, & erythematous lesions 12 days p/1 dose of vax given


Changed on 8/14/2018

VAERS ID: 83686 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:New Jersey
Vaccinated:1996-01-03
Onset:1996-01-15
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0904B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Injection site hypersensitivity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 22JAN96 varicella zoster Ab IgM <20 (reference range <20); CBC w/diff-result WNL x/mono abs elevated 0.84;24JAN96 varicella ABIgG 0.21 (reference range 0.15-0.28 low positive); 5FEB96 varicella ABIgG 0.25;varicellal zoster AbIgM <20
CDC 'Split Type':

Write-up: pt devel fever, cellulitis @ inj site, & erythematous lesions 12 days p/1 dose of vax given


Changed on 9/14/2018

VAERS ID: 83686 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:New Jersey
Vaccinated:1996-01-03
Onset:1996-01-15
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0904B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Injection site hypersensitivity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 22JAN96 varicella zoster Ab IgM <20 (reference range <20); CBC w/diff-result WNL x/mono abs elevated 0.84;24JAN96 varicella ABIgG 0.21 (reference range 0.15-0.28 low positive); 5FEB96 varicella ABIgG 0.25;varicellal zoster AbIgM <20
CDC 'Split Type':

Write-up: pt devel fever, cellulitis @ inj site, & erythematous lesions 12 days p/1 dose of vax given


Changed on 10/14/2018

VAERS ID: 83686 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:New Jersey
Vaccinated:1996-01-03
Onset:1996-01-15
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0904B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Injection site hypersensitivity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 22JAN96 varicella zoster Ab IgM <20 (reference range <20); CBC w/diff-result WNL x/mono abs elevated 0.84;24JAN96 varicella ABIgG 0.21 (reference range 0.15-0.28 low positive); 5FEB96 varicella ABIgG 0.25;varicellal zoster AbIgM <20
CDC 'Split Type':

Write-up: pt devel fever, cellulitis @ inj site, & erythematous lesions 12 days p/1 dose of vax given


Changed on 12/24/2020

VAERS ID: 83686 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:New Jersey
Vaccinated:1996-01-03
Onset:1996-01-15
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0904B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Injection site hypersensitivity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 22JAN96 varicella zoster Ab IgM <20 (reference range <20); CBC w/diff-result WNL x/mono abs elevated 0.84;24JAN96 varicella ABIgG 0.21 (reference range 0.15-0.28 low positive); 5FEB96 varicella ABIgG 0.25;varicellal zoster AbIgM <20
CDC 'Split Type':

Write-up: pt devel fever, cellulitis @ inj site, & erythematous lesions 12 days p/1 dose of vax given


Changed on 12/30/2020

VAERS ID: 83686 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:New Jersey
Vaccinated:1996-01-03
Onset:1996-01-15
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0904B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Injection site hypersensitivity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 22JAN96 varicella zoster Ab IgM <20 (reference range <20); CBC w/diff-result WNL x/mono abs elevated 0.84;24JAN96 varicella ABIgG 0.21 (reference range 0.15-0.28 low positive); 5FEB96 varicella ABIgG 0.25;varicellal zoster AbIgM <20
CDC 'Split Type':

Write-up: pt devel fever, cellulitis @ inj site, & erythematous lesions 12 days p/1 dose of vax given


Changed on 5/7/2021

VAERS ID: 83686 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:New Jersey
Vaccinated:1996-01-03
Onset:1996-01-15
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0904B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Injection site hypersensitivity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 22JAN96 varicella zoster Ab IgM <20 (reference range <20); CBC w/diff-result WNL x/mono abs elevated 0.84;24JAN96 varicella ABIgG 0.21 (reference range 0.15-0.28 low positive); 5FEB96 varicella ABIgG 0.25;varicellal zoster AbIgM <20
CDC 'Split Type':

Write-up: pt devel fever, cellulitis @ inj site, & erythematous lesions 12 days p/1 dose of vax given


Changed on 5/14/2021

VAERS ID: 83686 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:New Jersey
Vaccinated:1996-01-03
Onset:1996-01-15
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0904B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Injection site hypersensitivity, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 22JAN96 varicella zoster Ab IgM <20 (reference range <20); CBC w/diff-result WNL x/mono abs elevated 0.84;24JAN96 varicella ABIgG 0.21 (reference range 0.15-0.28 low positive); 5FEB96 varicella ABIgG 0.25;varicellal zoster AbIgM <20
CDC 'Split Type':

Write-up: pt devel fever, cellulitis @ inj site, & erythematous lesions 12 days p/1 dose of vax given

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