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This is VAERS ID 240005

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 240005
VAERS Form:
Age:16.0
Sex:Male
Location:Georgia
Vaccinated:2005-05-18
Onset:2005-05-19
Submitted:2005-05-20
Entered:2005-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, U1526AC / - LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: HEADACHE, MYALGIA, PAIN ABDO, PAIN NECK

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: 05/20/2005 Mom called - reported 05/19/2005, headache started at 3PM. Neck hurts, aching, not feeling well in general. Abdominal pain. Symptoms relieved by Tylenol, eating Okay, no nausea/vomiting. Did not take temperature.


Changed on 12/8/2009

VAERS ID: 240005 Before After
VAERS Form:
Age:16.0
Sex:Male
Location:Georgia
Vaccinated:2005-05-18
Onset:2005-05-19
Submitted:2005-05-20
Entered:2005-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, AVENTIS PASTEUR U1526AC / - LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Abdominal pain, Headache, Neck pain, Pain, HEADACHE, MYALGIA, PAIN ABDO, PAIN NECK

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: 05/20/2005 Mom called - reported 05/19/2005, headache started at 3PM. Neck hurts, aching, not feeling well in general. Abdominal pain. Symptoms relieved by Tylenol, eating Okay, no nausea/vomiting. Did not take temperature.


Changed on 4/7/2010

VAERS ID: 240005 Before After
VAERS Form:
Age:16.0
Sex:Male
Location:Georgia
Vaccinated:2005-05-18
Onset:2005-05-19
Submitted:2005-05-20
Entered:2005-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1526AC / - LA / -

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain, Headache, Neck pain, 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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: 05/20/2005 Mom called - reported 05/19/2005, headache started at 3PM. Neck hurts, aching, not feeling well in general. Abdominal pain. Symptoms relieved by Tylenol, eating Okay, no nausea/vomiting. Did not take temperature.


Changed on 5/14/2017

VAERS ID: 240005 Before After
VAERS Form:
Age:16.0
Sex:Male
Location:Georgia
Vaccinated:2005-05-18
Onset:2005-05-19
Submitted:2005-05-20
Entered:2005-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1526AC / - LA / -

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain, Headache, Neck pain, 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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: 05/20/2005 Mom called - reported 05/19/2005, headache started at 3PM. Neck hurts, aching, not feeling well in general. Abdominal pain. Symptoms relieved by Tylenol, eating Okay, no nausea/vomiting. Did not take temperature.


Changed on 9/14/2017

VAERS ID: 240005 Before After
VAERS Form:(blank) 1
Age:16.0
Sex:Male
Location:Georgia
Vaccinated:2005-05-18
Onset:2005-05-19
Submitted:2005-05-20
Entered:2005-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1526AC / - UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain, Headache, Neck pain, 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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: 05/20/2005 Mom called - reported 05/19/2005, headache started at 3PM. Neck hurts, aching, not feeling well in general. Abdominal pain. Symptoms relieved by Tylenol, eating Okay, no nausea/vomiting. Did not take temperature.


Changed on 2/14/2018

VAERS ID: 240005 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Georgia
Vaccinated:2005-05-18
Onset:2005-05-19
Submitted:2005-05-20
Entered:2005-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1526AC / UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain, Headache, Neck pain, 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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: 05/20/2005 Mom called - reported 05/19/2005, headache started at 3PM. Neck hurts, aching, not feeling well in general. Abdominal pain. Symptoms relieved by Tylenol, eating Okay, no nausea/vomiting. Did not take temperature.


Changed on 6/14/2018

VAERS ID: 240005 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Georgia
Vaccinated:2005-05-18
Onset:2005-05-19
Submitted:2005-05-20
Entered:2005-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1526AC / UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain, Headache, Neck pain, 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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: 05/20/2005 Mom called - reported 05/19/2005, headache started at 3PM. Neck hurts, aching, not feeling well in general. Abdominal pain. Symptoms relieved by Tylenol, eating Okay, no nausea/vomiting. Did not take temperature.


Changed on 8/14/2018

VAERS ID: 240005 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Georgia
Vaccinated:2005-05-18
Onset:2005-05-19
Submitted:2005-05-20
Entered:2005-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1526AC / UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain, Headache, Neck pain, 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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: 05/20/2005 Mom called - reported 05/19/2005, headache started at 3PM. Neck hurts, aching, not feeling well in general. Abdominal pain. Symptoms relieved by Tylenol, eating Okay, no nausea/vomiting. Did not take temperature.


Changed on 9/14/2018

VAERS ID: 240005 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Georgia
Vaccinated:2005-05-18
Onset:2005-05-19
Submitted:2005-05-20
Entered:2005-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1526AC / UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain, Headache, Neck pain, 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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: 05/20/2005 Mom called - reported 05/19/2005, headache started at 3PM. Neck hurts, aching, not feeling well in general. Abdominal pain. Symptoms relieved by Tylenol, eating Okay, no nausea/vomiting. Did not take temperature.


Changed on 10/14/2018

VAERS ID: 240005 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:Georgia
Vaccinated:2005-05-18
Onset:2005-05-19
Submitted:2005-05-20
Entered:2005-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1526AC / UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain, Headache, Neck pain, 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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: 05/20/2005 Mom called - reported 05/19/2005, headache started at 3PM. Neck hurts, aching, not feeling well in general. Abdominal pain. Symptoms relieved by Tylenol, eating Okay, no nausea/vomiting. Did not take temperature.

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