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This is VAERS ID 241066

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 241066
VAERS Form:
Age:9.0
Sex:Female
Location:New Jersey
Vaccinated:2005-06-29
Onset:2005-06-30
Submitted:2005-07-06
Entered:2005-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, UE289AA / 0 LA / SC
TYP: TYPHOID (VIVOTIF BERNA) / SWISS SERUM BERN 3000808 / 0 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: PAIN ABDO

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: NONE
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 7/5/05 Received message from parent, patient experiencing abdominal cramping. Taken dose 1 and 2. Parent stopping 3 and 4. Started morning after dose 1.


Changed on 12/8/2009

VAERS ID: 241066 Before After
VAERS Form:
Age:9.0
Sex:Female
Location:New Jersey
Vaccinated:2005-06-29
Onset:2005-06-30
Submitted:2005-07-06
Entered:2005-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, AVENTIS PASTEUR UE289AA / 0 LA / SC
TYP: TYPHOID (VIVOTIF BERNA) TYPHOID LIVE ORAL TY21A (VIVOTIF) / SWISS SERUM BERN BERNA BIOTECH, LTD 3000808 / 0 - / PO

Administered by: Private      Purchased by: Unknown Private
Symptoms: Abdominal pain, PAIN ABDO

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: NONE
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 7/5/05 Received message from parent, patient experiencing abdominal cramping. Taken dose 1 and 2. Parent stopping 3 and 4. Started morning after dose 1.


Changed on 4/7/2010

VAERS ID: 241066 Before After
VAERS Form:
Age:9.0
Sex:Female
Location:New Jersey
Vaccinated:2005-06-29
Onset:2005-06-30
Submitted:2005-07-06
Entered:2005-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR UE289AA / 0 LA / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD 3000808 / 0 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Abdominal 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: NONE
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 7/5/05 Received message from parent, patient experiencing abdominal cramping. Taken dose 1 and 2. Parent stopping 3 and 4. Started morning after dose 1.


Changed on 5/14/2017

VAERS ID: 241066 Before After
VAERS Form:
Age:9.0
Sex:Female
Location:New Jersey
Vaccinated:2005-06-29
Onset:2005-06-30
Submitted:2005-07-06
Entered:2005-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR UE289AA / 0 LA / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD 3000808 / 0 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Abdominal 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: NONE
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 7/5/05 Received message from parent, patient experiencing abdominal cramping. Taken dose 1 and 2. Parent stopping 3 and 4. Started morning after dose 1.


Changed on 9/14/2017

VAERS ID: 241066 Before After
VAERS Form:(blank) 1
Age:9.0
Sex:Female
Location:New Jersey
Vaccinated:2005-06-29
Onset:2005-06-30
Submitted:2005-07-06
Entered:2005-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR UE289AA / 0 1 LA / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD 3000808 / 0 1 - MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Abdominal 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: NONE
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 7/5/05 Received message from parent, patient experiencing abdominal cramping. Taken dose 1 and 2. Parent stopping 3 and 4. Started morning after dose 1.


Changed on 11/14/2017

VAERS ID: 241066 Before After
VAERS Form:1
Age:9.0
Sex:Female
Location:New Jersey
Vaccinated:2005-06-29
Onset:2005-06-30
Submitted:2005-07-06
Entered:2005-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR UE289AA / 1 LA / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD BERNA BIOTECH, LTD. 3000808 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Abdominal 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: NONE
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 7/5/05 Received message from parent, patient experiencing abdominal cramping. Taken dose 1 and 2. Parent stopping 3 and 4. Started morning after dose 1.


Changed on 2/14/2018

VAERS ID: 241066 Before After
VAERS Form:1
Age:9.0
Sex:Female
Location:New Jersey
Vaccinated:2005-06-29
Onset:2005-06-30
Submitted:2005-07-06
Entered:2005-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR UE289AA / 1 LA / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 3000808 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Abdominal 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: NONE
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 7/5/05 Received message from parent, patient experiencing abdominal cramping. Taken dose 1 and 2. Parent stopping 3 and 4. Started morning after dose 1.


Changed on 6/14/2018

VAERS ID: 241066 Before After
VAERS Form:1
Age:9.0
Sex:Female
Location:New Jersey
Vaccinated:2005-06-29
Onset:2005-06-30
Submitted:2005-07-06
Entered:2005-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR UE289AA / 1 LA / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 3000808 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Abdominal 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: NONE
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 7/5/05 Received message from parent, patient experiencing abdominal cramping. Taken dose 1 and 2. Parent stopping 3 and 4. Started morning after dose 1.


Changed on 8/14/2018

VAERS ID: 241066 Before After
VAERS Form:1
Age:9.0
Sex:Female
Location:New Jersey
Vaccinated:2005-06-29
Onset:2005-06-30
Submitted:2005-07-06
Entered:2005-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR UE289AA / 1 LA / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 3000808 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Abdominal 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: NONE
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 7/5/05 Received message from parent, patient experiencing abdominal cramping. Taken dose 1 and 2. Parent stopping 3 and 4. Started morning after dose 1.


Changed on 9/14/2018

VAERS ID: 241066 Before After
VAERS Form:1
Age:9.0
Sex:Female
Location:New Jersey
Vaccinated:2005-06-29
Onset:2005-06-30
Submitted:2005-07-06
Entered:2005-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR UE289AA / 1 LA / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 3000808 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Abdominal 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: NONE
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 7/5/05 Received message from parent, patient experiencing abdominal cramping. Taken dose 1 and 2. Parent stopping 3 and 4. Started morning after dose 1.


Changed on 10/14/2018

VAERS ID: 241066 Before After
VAERS Form:1
Age:9.0
Sex:Female
Location:New Jersey
Vaccinated:2005-06-29
Onset:2005-06-30
Submitted:2005-07-06
Entered:2005-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR UE289AA / 1 LA / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 3000808 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Abdominal 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: NONE
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 7/5/05 Received message from parent, patient experiencing abdominal cramping. Taken dose 1 and 2. Parent stopping 3 and 4. Started morning after dose 1.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=241066&WAYBACKHISTORY=ON


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