National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 241049

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 241049
VAERS Form:
Age:16.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-05
Onset:2005-07-06
Submitted:2005-07-06
Entered:2005-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, U1658AA / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, ASTHENIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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 illness or any recent illness
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever of 102.7 degrees orally on A.M. of 7/6/2005. Pt also feels weak.


Changed on 12/8/2009

VAERS ID: 241049 Before After
VAERS Form:
Age:16.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-05
Onset:2005-07-06
Submitted:2005-07-06
Entered:2005-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, AVENTIS PASTEUR U1658AA / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Pyrexia, FEVER, ASTHENIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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 illness or any recent illness
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever of 102.7 degrees orally on A.M. of 7/6/2005. Pt also feels weak.


Changed on 4/7/2010

VAERS ID: 241049 Before After
VAERS Form:
Age:16.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-05
Onset:2005-07-06
Submitted:2005-07-06
Entered:2005-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1658AA / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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 illness or any recent illness
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever of 102.7 degrees orally on A.M. of 7/6/2005. Pt also feels weak.


Changed on 5/14/2017

VAERS ID: 241049 Before After
VAERS Form:
Age:16.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-05
Onset:2005-07-06
Submitted:2005-07-06
Entered:2005-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1658AA / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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 illness or any recent illness
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever of 102.7 degrees orally on A.M. of 7/6/2005. Pt also feels weak.


Changed on 9/14/2017

VAERS ID: 241049 Before After
VAERS Form:(blank) 1
Age:16.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-05
Onset:2005-07-06
Submitted:2005-07-06
Entered:2005-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1658AA / 0 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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 illness or any recent illness
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever of 102.7 degrees orally on A.M. of 7/6/2005. Pt also feels weak.


Changed on 2/14/2018

VAERS ID: 241049 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-05
Onset:2005-07-06
Submitted:2005-07-06
Entered:2005-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1658AA / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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 illness or any recent illness
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever of 102.7 degrees orally on A.M. of 7/6/2005. Pt also feels weak.


Changed on 6/14/2018

VAERS ID: 241049 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-05
Onset:2005-07-06
Submitted:2005-07-06
Entered:2005-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1658AA / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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 illness or any recent illness
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever of 102.7 degrees orally on A.M. of 7/6/2005. Pt also feels weak.


Changed on 8/14/2018

VAERS ID: 241049 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-05
Onset:2005-07-06
Submitted:2005-07-06
Entered:2005-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1658AA / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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 illness or any recent illness
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever of 102.7 degrees orally on A.M. of 7/6/2005. Pt also feels weak.


Changed on 9/14/2018

VAERS ID: 241049 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-05
Onset:2005-07-06
Submitted:2005-07-06
Entered:2005-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1658AA / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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 illness or any recent illness
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever of 102.7 degrees orally on A.M. of 7/6/2005. Pt also feels weak.


Changed on 10/14/2018

VAERS ID: 241049 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-05
Onset:2005-07-06
Submitted:2005-07-06
Entered:2005-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1658AA / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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 illness or any recent illness
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever of 102.7 degrees orally on A.M. of 7/6/2005. Pt also feels weak.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=241049&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166