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This is VAERS ID 238902

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 238902
VAERS Form:
Age:22.0
Sex:Female
Location:North Carolina
Vaccinated:2005-05-27
Onset:2005-05-28
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, U1492AB / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: CHILLS, FEVER, HEADACHE, MYALGIA, FLU SYND

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: 16-24 hours after vaccine adminstered complaint of flu-like symptoms, fever, chills, arm soreness, body aches, neck pain, headache.


Changed on 12/8/2009

VAERS ID: 238902 Before After
VAERS Form:
Age:22.0
Sex:Female
Location:North Carolina
Vaccinated:2005-05-27
Onset:2005-05-28
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, AVENTIS PASTEUR U1492AB / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Headache, Influenza like illness, Neck pain, Pain, Pyrexia, CHILLS, FEVER, HEADACHE, MYALGIA, FLU SYND

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: 16-24 hours after vaccine adminstered complaint of flu-like symptoms, fever, chills, arm soreness, body aches, neck pain, headache.


Changed on 4/7/2010

VAERS ID: 238902 Before After
VAERS Form:
Age:22.0
Sex:Female
Location:North Carolina
Vaccinated:2005-05-27
Onset:2005-05-28
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1492AB / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Headache, Influenza like illness, Neck pain, Pain, Pyrexia

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: 16-24 hours after vaccine adminstered complaint of flu-like symptoms, fever, chills, arm soreness, body aches, neck pain, headache.


Changed on 5/14/2017

VAERS ID: 238902 Before After
VAERS Form:
Age:22.0
Sex:Female
Location:North Carolina
Vaccinated:2005-05-27
Onset:2005-05-28
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1492AB / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Headache, Influenza like illness, Neck pain, Pain, Pyrexia

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: 16-24 hours after vaccine adminstered complaint of flu-like symptoms, fever, chills, arm soreness, body aches, neck pain, headache.


Changed on 9/14/2017

VAERS ID: 238902 Before After
VAERS Form:(blank) 1
Age:22.0
Sex:Female
Location:North Carolina
Vaccinated:2005-05-27
Onset:2005-05-28
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1492AB / 0 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Headache, Influenza like illness, Neck pain, Pain, Pyrexia

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: 16-24 hours after vaccine adminstered complaint of flu-like symptoms, fever, chills, arm soreness, body aches, neck pain, headache.


Changed on 2/14/2018

VAERS ID: 238902 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:North Carolina
Vaccinated:2005-05-27
Onset:2005-05-28
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1492AB / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Headache, Influenza like illness, Neck pain, Pain, Pyrexia

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: 16-24 hours after vaccine adminstered complaint of flu-like symptoms, fever, chills, arm soreness, body aches, neck pain, headache.


Changed on 6/14/2018

VAERS ID: 238902 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:North Carolina
Vaccinated:2005-05-27
Onset:2005-05-28
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1492AB / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Headache, Influenza like illness, Neck pain, Pain, Pyrexia

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: 16-24 hours after vaccine adminstered complaint of flu-like symptoms, fever, chills, arm soreness, body aches, neck pain, headache.


Changed on 8/14/2018

VAERS ID: 238902 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:North Carolina
Vaccinated:2005-05-27
Onset:2005-05-28
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1492AB / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Headache, Influenza like illness, Neck pain, Pain, Pyrexia

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: 16-24 hours after vaccine adminstered complaint of flu-like symptoms, fever, chills, arm soreness, body aches, neck pain, headache.


Changed on 9/14/2018

VAERS ID: 238902 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:North Carolina
Vaccinated:2005-05-27
Onset:2005-05-28
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1492AB / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Headache, Influenza like illness, Neck pain, Pain, Pyrexia

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: 16-24 hours after vaccine adminstered complaint of flu-like symptoms, fever, chills, arm soreness, body aches, neck pain, headache.


Changed on 10/14/2018

VAERS ID: 238902 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:North Carolina
Vaccinated:2005-05-27
Onset:2005-05-28
Submitted:2005-06-01
Entered:2005-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1492AB / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Headache, Influenza like illness, Neck pain, Pain, Pyrexia

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: 16-24 hours after vaccine adminstered complaint of flu-like symptoms, fever, chills, arm soreness, body aches, neck pain, headache.

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