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This is VAERS ID 238280

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 238280
VAERS Form:
Age:81.0
Sex:Female
Location:Georgia
Vaccinated:2005-05-23
Onset:0000-00-00
Submitted:2005-05-26
Entered:2005-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0814P / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, U1492AB / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: MED ERROR

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Gave Menactra instead of Menomune.


Changed on 12/8/2009

VAERS ID: 238280 Before After
VAERS Form:
Age:81.0
Sex:Female
Location:Georgia
Vaccinated:2005-05-23
Onset:0000-00-00
Submitted:2005-05-26
Entered:2005-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) HEP A (VAQTA) / MERCK & CO. INC. 0814P / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, AVENTIS PASTEUR U1492AB / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Medication error, MED ERROR

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Gave Menactra instead of Menomune.


Changed on 4/7/2010

VAERS ID: 238280 Before After
VAERS Form:
Age:81.0
Sex:Female
Location:Georgia
Vaccinated:2005-05-23
Onset:0000-00-00
Submitted:2005-05-26
Entered:2005-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0814P / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1492AB / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Medication error

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Gave Menactra instead of Menomune.


Changed on 5/14/2017

VAERS ID: 238280 Before After
VAERS Form:
Age:81.0
Sex:Female
Location:Georgia
Vaccinated:2005-05-23
Onset:0000-00-00
Submitted:2005-05-26
Entered:2005-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0814P / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1492AB / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Medication error

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Gave Menactra instead of Menomune.


Changed on 9/14/2017

VAERS ID: 238280 Before After
VAERS Form:(blank) 1
Age:81.0
Sex:Female
Location:Georgia
Vaccinated:2005-05-23
Onset:0000-00-00
Submitted:2005-05-26
Entered:2005-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0814P / 0 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1492AB / 0 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Medication error

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Gave Menactra instead of Menomune.


Changed on 2/14/2018

VAERS ID: 238280 Before After
VAERS Form:1
Age:81.0
Sex:Female
Location:Georgia
Vaccinated:2005-05-23
Onset:0000-00-00
Submitted:2005-05-26
Entered:2005-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0814P / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1492AB / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Medication error

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Gave Menactra instead of Menomune.


Changed on 6/14/2018

VAERS ID: 238280 Before After
VAERS Form:1
Age:81.0
Sex:Female
Location:Georgia
Vaccinated:2005-05-23
Onset:0000-00-00
Submitted:2005-05-26
Entered:2005-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0814P / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1492AB / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Medication error

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Gave Menactra instead of Menomune.


Changed on 8/14/2018

VAERS ID: 238280 Before After
VAERS Form:1
Age:81.0
Sex:Female
Location:Georgia
Vaccinated:2005-05-23
Onset:0000-00-00
Submitted:2005-05-26
Entered:2005-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0814P / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1492AB / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Medication error

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Gave Menactra instead of Menomune.


Changed on 9/14/2018

VAERS ID: 238280 Before After
VAERS Form:1
Age:81.0
Sex:Female
Location:Georgia
Vaccinated:2005-05-23
Onset:0000-00-00
Submitted:2005-05-26
Entered:2005-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0814P / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1492AB / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Medication error

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Gave Menactra instead of Menomune.


Changed on 10/14/2018

VAERS ID: 238280 Before After
VAERS Form:1
Age:81.0
Sex:Female
Location:Georgia
Vaccinated:2005-05-23
Onset:0000-00-00
Submitted:2005-05-26
Entered:2005-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0814P / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1492AB / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Medication error

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Gave Menactra instead of Menomune.

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