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This is VAERS ID 236740

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 236740
VAERS Form:
Age:17.0
Sex:Male
Location:Maryland
Vaccinated:2005-04-20
Onset:2005-04-21
Submitted:2005-04-28
Entered:2005-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, U1493AC / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: LYMPHADENO, MYALGIA, PAIN

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? No
Previous Vaccinations:
Other Medications: Accutane
Current Illness:
Preexisting Conditions: Right side Hemiplegia, Acne
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Aching all over. Swollen nodes.


Changed on 12/8/2009

VAERS ID: 236740 Before After
VAERS Form:
Age:17.0
Sex:Male
Location:Maryland
Vaccinated:2005-04-20
Onset:2005-04-21
Submitted:2005-04-28
Entered:2005-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, AVENTIS PASTEUR U1493AC / - LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Lymphadenopathy, Pain, LYMPHADENO, MYALGIA, PAIN

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? No
Previous Vaccinations:
Other Medications: Accutane
Current Illness:
Preexisting Conditions: Right side Hemiplegia, Acne
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Aching all over. Swollen nodes.


Changed on 4/7/2010

VAERS ID: 236740 Before After
VAERS Form:
Age:17.0
Sex:Male
Location:Maryland
Vaccinated:2005-04-20
Onset:2005-04-21
Submitted:2005-04-28
Entered:2005-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1493AC / - LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Pain

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? No
Previous Vaccinations:
Other Medications: Accutane
Current Illness:
Preexisting Conditions: Right side Hemiplegia, Acne
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Aching all over. Swollen nodes.


Changed on 2/14/2017

VAERS ID: 236740 Before After
VAERS Form:
Age:17.0
Sex:Male
Location:Maryland
Vaccinated:2005-04-20
Onset:2005-04-21
Submitted:2005-04-28
Entered:2005-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1493AC / - LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Pain

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? No
Previous Vaccinations:
Other Medications: Accutane
Current Illness:
Preexisting Conditions: Right side Hemiplegia, Acne
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Aching all over. Swollen nodes.


Changed on 9/14/2017

VAERS ID: 236740 Before After
VAERS Form:(blank) 1
Age:17.0
Sex:Male
Location:Maryland
Vaccinated:2005-04-20
Onset:2005-04-21
Submitted:2005-04-28
Entered:2005-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1493AC / - UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Pain

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? No
Previous Vaccinations:
Other Medications: Accutane
Current Illness:
Preexisting Conditions: Right side Hemiplegia, Acne
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Aching all over. Swollen nodes.


Changed on 2/14/2018

VAERS ID: 236740 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Maryland
Vaccinated:2005-04-20
Onset:2005-04-21
Submitted:2005-04-28
Entered:2005-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1493AC / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Pain

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? No
Previous Vaccinations:
Other Medications: Accutane
Current Illness:
Preexisting Conditions: Right side Hemiplegia, Acne
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Aching all over. Swollen nodes.


Changed on 6/14/2018

VAERS ID: 236740 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Maryland
Vaccinated:2005-04-20
Onset:2005-04-21
Submitted:2005-04-28
Entered:2005-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1493AC / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Pain

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? No
Previous Vaccinations:
Other Medications: Accutane
Current Illness:
Preexisting Conditions: Right side Hemiplegia, Acne
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Aching all over. Swollen nodes.


Changed on 8/14/2018

VAERS ID: 236740 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Maryland
Vaccinated:2005-04-20
Onset:2005-04-21
Submitted:2005-04-28
Entered:2005-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1493AC / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Pain

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? No
Previous Vaccinations:
Other Medications: Accutane
Current Illness:
Preexisting Conditions: Right side Hemiplegia, Acne
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Aching all over. Swollen nodes.


Changed on 9/14/2018

VAERS ID: 236740 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Maryland
Vaccinated:2005-04-20
Onset:2005-04-21
Submitted:2005-04-28
Entered:2005-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1493AC / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Pain

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? No
Previous Vaccinations:
Other Medications: Accutane
Current Illness:
Preexisting Conditions: Right side Hemiplegia, Acne
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Aching all over. Swollen nodes.


Changed on 10/14/2018

VAERS ID: 236740 Before After
VAERS Form:1
Age:17.0
Sex:Male
Location:Maryland
Vaccinated:2005-04-20
Onset:2005-04-21
Submitted:2005-04-28
Entered:2005-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1493AC / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Lymphadenopathy, Pain

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? No
Previous Vaccinations:
Other Medications: Accutane
Current Illness:
Preexisting Conditions: Right side Hemiplegia, Acne
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Aching all over. Swollen nodes.

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