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This is VAERS ID 241261

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 241261
VAERS Form:
Age:23.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-01
Onset:2005-07-04
Submitted:2005-07-12
Entered:2005-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, U1657AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, HEADACHE, ARTHRALGIA, PAIN ABDO, NECK RIGID

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/4/05 Pt states c/o HA, stiff neck, joint pain, stomach pain and fever. Had MD visit 7/7/05. For these symptoms. HA persisted until 7/11/05. Fever was 102 at high point. Pt called the health dept to get advice regarding sx.


Changed on 12/8/2009

VAERS ID: 241261 Before After
VAERS Form:
Age:23.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-01
Onset:2005-07-04
Submitted:2005-07-12
Entered:2005-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, AVENTIS PASTEUR U1657AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Arthralgia, Headache, Pyrexia, Musculoskeletal stiffness, FEVER, HEADACHE, ARTHRALGIA, PAIN ABDO, NECK RIGID

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/4/05 Pt states c/o HA, stiff neck, joint pain, stomach pain and fever. Had MD visit 7/7/05. For these symptoms. HA persisted until 7/11/05. Fever was 102 at high point. Pt called the health dept to get advice regarding sx.


Changed on 4/7/2010

VAERS ID: 241261 Before After
VAERS Form:
Age:23.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-01
Onset:2005-07-04
Submitted:2005-07-12
Entered:2005-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1657AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Arthralgia, Headache, Pyrexia, Musculoskeletal stiffness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/4/05 Pt states c/o HA, stiff neck, joint pain, stomach pain and fever. Had MD visit 7/7/05. For these symptoms. HA persisted until 7/11/05. Fever was 102 at high point. Pt called the health dept to get advice regarding sx.


Changed on 5/14/2017

VAERS ID: 241261 Before After
VAERS Form:
Age:23.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-01
Onset:2005-07-04
Submitted:2005-07-12
Entered:2005-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1657AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Arthralgia, Headache, Pyrexia, Musculoskeletal stiffness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/4/05 Pt states c/o HA, stiff neck, joint pain, stomach pain and fever. Had MD visit 7/7/05. For these symptoms. HA persisted until 7/11/05. Fever was 102 at high point. Pt called the health dept to get advice regarding sx.


Changed on 9/14/2017

VAERS ID: 241261 Before After
VAERS Form:(blank) 1
Age:23.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-01
Onset:2005-07-04
Submitted:2005-07-12
Entered:2005-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1657AA / 0 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Arthralgia, Headache, Pyrexia, Musculoskeletal stiffness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/4/05 Pt states c/o HA, stiff neck, joint pain, stomach pain and fever. Had MD visit 7/7/05. For these symptoms. HA persisted until 7/11/05. Fever was 102 at high point. Pt called the health dept to get advice regarding sx.


Changed on 2/14/2018

VAERS ID: 241261 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-01
Onset:2005-07-04
Submitted:2005-07-12
Entered:2005-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1657AA / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Arthralgia, Headache, Pyrexia, Musculoskeletal stiffness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/4/05 Pt states c/o HA, stiff neck, joint pain, stomach pain and fever. Had MD visit 7/7/05. For these symptoms. HA persisted until 7/11/05. Fever was 102 at high point. Pt called the health dept to get advice regarding sx.


Changed on 6/14/2018

VAERS ID: 241261 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-01
Onset:2005-07-04
Submitted:2005-07-12
Entered:2005-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1657AA / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Arthralgia, Headache, Pyrexia, Musculoskeletal stiffness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/4/05 Pt states c/o HA, stiff neck, joint pain, stomach pain and fever. Had MD visit 7/7/05. For these symptoms. HA persisted until 7/11/05. Fever was 102 at high point. Pt called the health dept to get advice regarding sx.


Changed on 8/14/2018

VAERS ID: 241261 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-01
Onset:2005-07-04
Submitted:2005-07-12
Entered:2005-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1657AA / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Arthralgia, Headache, Pyrexia, Musculoskeletal stiffness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/4/05 Pt states c/o HA, stiff neck, joint pain, stomach pain and fever. Had MD visit 7/7/05. For these symptoms. HA persisted until 7/11/05. Fever was 102 at high point. Pt called the health dept to get advice regarding sx.


Changed on 9/14/2018

VAERS ID: 241261 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-01
Onset:2005-07-04
Submitted:2005-07-12
Entered:2005-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1657AA / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Arthralgia, Headache, Pyrexia, Musculoskeletal stiffness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/4/05 Pt states c/o HA, stiff neck, joint pain, stomach pain and fever. Had MD visit 7/7/05. For these symptoms. HA persisted until 7/11/05. Fever was 102 at high point. Pt called the health dept to get advice regarding sx.


Changed on 10/14/2018

VAERS ID: 241261 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:Michigan
Vaccinated:2005-07-01
Onset:2005-07-04
Submitted:2005-07-12
Entered:2005-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1657AA / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Arthralgia, Headache, Pyrexia, Musculoskeletal stiffness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/4/05 Pt states c/o HA, stiff neck, joint pain, stomach pain and fever. Had MD visit 7/7/05. For these symptoms. HA persisted until 7/11/05. Fever was 102 at high point. Pt called the health dept to get advice regarding sx.

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