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This is VAERS ID 238071

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 238071
VAERS Form:
Age:14.0
Sex:Female
Location:Kansas
Vaccinated:2005-04-17
Onset:2005-04-18
Submitted:2005-05-24
Entered:2005-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, U1525AB / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: MIGRAINE, REACT AGGRAV

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: High fever,not alert for brief time;DTP (unknown mfr);4;18;In Patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CAT scan, MRI, blood work all normal.
CDC 'Split Type':

Write-up: She had mild migraines lasting a couple of days for the last year and a half. The next day after She received the vaccine she started a severe migaine headache that has not stopped for more than a couple of times for two days, one time after being hospita"lized and receiving solumedral and DHE. Went to the ER three times to try to relieve the headache. On preventative medication for her daily headache but it has not helped yet. Has been out of school since 4/18.


Changed on 12/8/2009

VAERS ID: 238071 Before After
VAERS Form:
Age:14.0
Sex:Female
Location:Kansas
Vaccinated:2005-04-17
Onset:2005-04-18
Submitted:2005-05-24
Entered:2005-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, AVENTIS PASTEUR U1525AB / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Migraine, MIGRAINE, REACT AGGRAV

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: High fever,not alert for brief time;DTP (unknown mfr);4;18;In Patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CAT scan, MRI, blood work all normal.
CDC 'Split Type':

Write-up: She had mild migraines lasting a couple of days for the last year and a half. The next day after She received the vaccine she started a severe migaine headache that has not stopped for more than a couple of times for two days, one time after being hospita"lized hospitalized and receiving solumedral and DHE. Went to the ER three times to try to relieve the headache. On preventative medication for her daily headache but it has not helped yet. Has been out of school since 4/18.


Changed on 4/7/2010

VAERS ID: 238071 Before After
VAERS Form:
Age:14.0
Sex:Female
Location:Kansas
Vaccinated:2005-04-17
Onset:2005-04-18
Submitted:2005-05-24
Entered:2005-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1525AB / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Migraine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: High fever,not alert for brief time;DTP (unknown mfr);4;18;In Patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CAT scan, MRI, blood work all normal.
CDC 'Split Type':

Write-up: She had mild migraines lasting a couple of days for the last year and a half. The next day after She received the vaccine she started a severe migaine headache that has not stopped for more than a couple of times for two days, one time after being hospitalized and receiving solumedral and DHE. Went to the ER three times to try to relieve the headache. On preventative medication for her daily headache but it has not helped yet. Has been out of school since 4/18.


Changed on 5/14/2017

VAERS ID: 238071 Before After
VAERS Form:
Age:14.0
Sex:Female
Location:Kansas
Vaccinated:2005-04-17
Onset:2005-04-18
Submitted:2005-05-24
Entered:2005-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1525AB / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Migraine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: High fever,not alert for brief time;DTP (unknown mfr);4;18;In time~DTP (no brand name)~4~1.50~In Patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CAT scan, MRI, blood work all normal.
CDC 'Split Type':

Write-up: She had mild migraines lasting a couple of days for the last year and a half. The next day after She received the vaccine she started a severe migaine headache that has not stopped for more than a couple of times for two days, one time after being hospitalized and receiving solumedral and DHE. Went to the ER three times to try to relieve the headache. On preventative medication for her daily headache but it has not helped yet. Has been out of school since 4/18.


Changed on 9/14/2017

VAERS ID: 238071 Before After
VAERS Form:(blank) 1
Age:14.0
Sex:Female
Location:Kansas
Vaccinated:2005-04-17
Onset:2005-04-18
Submitted:2005-05-24
Entered:2005-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AB / 0 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Migraine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: High fever,not alert for brief time~DTP (no brand name)~4~1.50~In Patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CAT scan, MRI, blood work all normal.
CDC 'Split Type':

Write-up: She had mild migraines lasting a couple of days for the last year and a half. The next day after She received the vaccine she started a severe migaine headache that has not stopped for more than a couple of times for two days, one time after being hospitalized and receiving solumedral and DHE. Went to the ER three times to try to relieve the headache. On preventative medication for her daily headache but it has not helped yet. Has been out of school since 4/18.


Changed on 2/14/2018

VAERS ID: 238071 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Kansas
Vaccinated:2005-04-17
Onset:2005-04-18
Submitted:2005-05-24
Entered:2005-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AB / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Migraine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: High fever,not alert for brief time~DTP (no brand name)~4~1.50~In Patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CAT scan, MRI, blood work all normal.
CDC 'Split Type':

Write-up: She had mild migraines lasting a couple of days for the last year and a half. The next day after She received the vaccine she started a severe migaine headache that has not stopped for more than a couple of times for two days, one time after being hospitalized and receiving solumedral and DHE. Went to the ER three times to try to relieve the headache. On preventative medication for her daily headache but it has not helped yet. Has been out of school since 4/18.


Changed on 6/14/2018

VAERS ID: 238071 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Kansas
Vaccinated:2005-04-17
Onset:2005-04-18
Submitted:2005-05-24
Entered:2005-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AB / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Migraine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: High fever,not alert for brief time~DTP (no brand name)~4~1.50~In Patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CAT scan, MRI, blood work all normal.
CDC 'Split Type':

Write-up: She had mild migraines lasting a couple of days for the last year and a half. The next day after She received the vaccine she started a severe migaine headache that has not stopped for more than a couple of times for two days, one time after being hospitalized and receiving solumedral and DHE. Went to the ER three times to try to relieve the headache. On preventative medication for her daily headache but it has not helped yet. Has been out of school since 4/18.


Changed on 8/14/2018

VAERS ID: 238071 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Kansas
Vaccinated:2005-04-17
Onset:2005-04-18
Submitted:2005-05-24
Entered:2005-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AB / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Migraine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: High fever,not alert for brief time~DTP (no brand name)~4~1.50~In Patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CAT scan, MRI, blood work all normal.
CDC 'Split Type':

Write-up: She had mild migraines lasting a couple of days for the last year and a half. The next day after She received the vaccine she started a severe migaine headache that has not stopped for more than a couple of times for two days, one time after being hospitalized and receiving solumedral and DHE. Went to the ER three times to try to relieve the headache. On preventative medication for her daily headache but it has not helped yet. Has been out of school since 4/18.


Changed on 9/14/2018

VAERS ID: 238071 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Kansas
Vaccinated:2005-04-17
Onset:2005-04-18
Submitted:2005-05-24
Entered:2005-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AB / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Migraine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: High fever,not alert for brief time~DTP (no brand name)~4~1.50~In Patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CAT scan, MRI, blood work all normal.
CDC 'Split Type':

Write-up: She had mild migraines lasting a couple of days for the last year and a half. The next day after She received the vaccine she started a severe migaine headache that has not stopped for more than a couple of times for two days, one time after being hospitalized and receiving solumedral and DHE. Went to the ER three times to try to relieve the headache. On preventative medication for her daily headache but it has not helped yet. Has been out of school since 4/18.


Changed on 10/14/2018

VAERS ID: 238071 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Kansas
Vaccinated:2005-04-17
Onset:2005-04-18
Submitted:2005-05-24
Entered:2005-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AB / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Migraine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: High fever,not alert for brief time~DTP (no brand name)~4~1.50~In Patient
Other Medications: none
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CAT scan, MRI, blood work all normal.
CDC 'Split Type':

Write-up: She had mild migraines lasting a couple of days for the last year and a half. The next day after She received the vaccine she started a severe migaine headache that has not stopped for more than a couple of times for two days, one time after being hospitalized and receiving solumedral and DHE. Went to the ER three times to try to relieve the headache. On preventative medication for her daily headache but it has not helped yet. Has been out of school since 4/18.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=238071&WAYBACKHISTORY=ON


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