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This is VAERS ID 239906

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 239906
VAERS Form:
Age:40.0
Sex:Female
Location:Missouri
Vaccinated:2005-05-19
Onset:2005-05-19
Submitted:2005-06-13
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, - / - RA / IM
TD: TD ADSORBED, ADULT (NO BRAND NAME) / MASS. PUB HLTH B 127 / - LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: PAIN INJECT SITE

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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Complaint of pain when vaccine given and states arm hurt from vaccine sight (left deltoid) to elbow. Hurts when raises arm. No swelling - redness or atrophy of muscle. Called on 06/10 to report. Talked again with patient on 06/13/2005 and she says it"is getting better. Advised to let us know if worsens or need to see PMD.


Changed on 12/8/2009

VAERS ID: 239906 Before After
VAERS Form:
Age:40.0
Sex:Female
Location:Missouri
Vaccinated:2005-05-19
Onset:2005-05-19
Submitted:2005-06-13
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, AVENTIS PASTEUR - / - RA / IM
TD: TD ADSORBED, ADULT (NO BRAND NAME) TD ADSORBED (NO BRAND NAME) / MASS. PUB HLTH B MASS. PUB HLTH BIOL LAB 127 / - LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Injection site pain, PAIN INJECT SITE

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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Complaint of pain when vaccine given and states arm hurt from vaccine sight (left deltoid) to elbow. Hurts when raises arm. No swelling - redness or atrophy of muscle. Called on 06/10 to report. Talked again with patient on 06/13/2005 and she says it"is it is getting better. Advised to let us know if worsens or need to see PMD.


Changed on 4/7/2010

VAERS ID: 239906 Before After
VAERS Form:
Age:40.0
Sex:Female
Location:Missouri
Vaccinated:2005-05-19
Onset:2005-05-19
Submitted:2005-06-13
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR - / - RA / IM
TD: TD ADSORBED (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB 127 / - LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site 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:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Complaint of pain when vaccine given and states arm hurt from vaccine sight (left deltoid) to elbow. Hurts when raises arm. No swelling - redness or atrophy of muscle. Called on 06/10 to report. Talked again with patient on 06/13/2005 and she says it is getting better. Advised to let us know if worsens or need to see PMD.


Changed on 5/14/2017

VAERS ID: 239906 Before After
VAERS Form:
Age:40.0
Sex:Female
Location:Missouri
Vaccinated:2005-05-19
Onset:2005-05-19
Submitted:2005-06-13
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR - / - RA / IM
TD: TD ADSORBED (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB 127 / - LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site 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:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Complaint of pain when vaccine given and states arm hurt from vaccine sight (left deltoid) to elbow. Hurts when raises arm. No swelling - redness or atrophy of muscle. Called on 06/10 to report. Talked again with patient on 06/13/2005 and she says it is getting better. Advised to let us know if worsens or need to see PMD.


Changed on 9/14/2017

VAERS ID: 239906 Before After
VAERS Form:(blank) 1
Age:40.0
Sex:Female
Location:Missouri
Vaccinated:2005-05-19
Onset:2005-05-19
Submitted:2005-06-13
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UNK RA / IM
TD: TD ADSORBED (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB 127 / - UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site 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:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Complaint of pain when vaccine given and states arm hurt from vaccine sight (left deltoid) to elbow. Hurts when raises arm. No swelling - redness or atrophy of muscle. Called on 06/10 to report. Talked again with patient on 06/13/2005 and she says it is getting better. Advised to let us know if worsens or need to see PMD.


Changed on 2/14/2018

VAERS ID: 239906 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Missouri
Vaccinated:2005-05-19
Onset:2005-05-19
Submitted:2005-06-13
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / UNK RA / IM
TD: TD ADSORBED (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB 127 / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site 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:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Complaint of pain when vaccine given and states arm hurt from vaccine sight (left deltoid) to elbow. Hurts when raises arm. No swelling - redness or atrophy of muscle. Called on 06/10 to report. Talked again with patient on 06/13/2005 and she says it is getting better. Advised to let us know if worsens or need to see PMD.


Changed on 6/14/2018

VAERS ID: 239906 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Missouri
Vaccinated:2005-05-19
Onset:2005-05-19
Submitted:2005-06-13
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / UNK RA / IM
TD: TD ADSORBED (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB 127 / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site 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:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Complaint of pain when vaccine given and states arm hurt from vaccine sight (left deltoid) to elbow. Hurts when raises arm. No swelling - redness or atrophy of muscle. Called on 06/10 to report. Talked again with patient on 06/13/2005 and she says it is getting better. Advised to let us know if worsens or need to see PMD.


Changed on 8/14/2018

VAERS ID: 239906 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Missouri
Vaccinated:2005-05-19
Onset:2005-05-19
Submitted:2005-06-13
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / UNK RA / IM
TD: TD ADSORBED (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB 127 / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site 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:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Complaint of pain when vaccine given and states arm hurt from vaccine sight (left deltoid) to elbow. Hurts when raises arm. No swelling - redness or atrophy of muscle. Called on 06/10 to report. Talked again with patient on 06/13/2005 and she says it is getting better. Advised to let us know if worsens or need to see PMD.


Changed on 9/14/2018

VAERS ID: 239906 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Missouri
Vaccinated:2005-05-19
Onset:2005-05-19
Submitted:2005-06-13
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / UNK RA / IM
TD: TD ADSORBED (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB 127 / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site 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:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Complaint of pain when vaccine given and states arm hurt from vaccine sight (left deltoid) to elbow. Hurts when raises arm. No swelling - redness or atrophy of muscle. Called on 06/10 to report. Talked again with patient on 06/13/2005 and she says it is getting better. Advised to let us know if worsens or need to see PMD.


Changed on 10/14/2018

VAERS ID: 239906 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Missouri
Vaccinated:2005-05-19
Onset:2005-05-19
Submitted:2005-06-13
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / UNK RA / IM
TD: TD ADSORBED (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB 127 / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site 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:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Complaint of pain when vaccine given and states arm hurt from vaccine sight (left deltoid) to elbow. Hurts when raises arm. No swelling - redness or atrophy of muscle. Called on 06/10 to report. Talked again with patient on 06/13/2005 and she says it is getting better. Advised to let us know if worsens or need to see PMD.


Changed on 4/14/2019

VAERS ID: 239906 Before After
VAERS Form:1
Age:40.0
Sex:Female
Location:Missouri
Vaccinated:2005-05-19
Onset:2005-05-19
Submitted:2005-06-13
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / UNK RA / IM
TD: TD ADSORBED (NO BRAND NAME) TD ADSORBED (TDVAX) / MASS. PUB HLTH BIOL LAB 127 / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Injection site 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:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Complaint of pain when vaccine given and states arm hurt from vaccine sight (left deltoid) to elbow. Hurts when raises arm. No swelling - redness or atrophy of muscle. Called on 06/10 to report. Talked again with patient on 06/13/2005 and she says it is getting better. Advised to let us know if worsens or need to see PMD.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=239906&WAYBACKHISTORY=ON


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