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This is VAERS ID 261359

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 261359
Age:11.0
Gender:Female
Location:California
Vaccinated:2006-07-13
Onset:0000-00-00
Submitted:2006-07-14
Entered:2006-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0702F / 0 LA / -
MEN: MENINGOCOCCAL POLYSACCHARIDE / UNKNOWN MANUFACTURER U1920AA / 0 LA / -
TD: TD ADSORBED, ADULT (NO BRAND NAME) / UNKNOWN MANUFACTURER C2457AA / 5 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Lymphadenopathy, Nausea

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Dizzy, nauseated, developed axillary lymphadenopathy on side with Menactra inoculation.


Changed on 12/8/2009

VAERS ID: 261359 Before After
Age:11.0
Gender:Female
Location:California
Vaccinated:2006-07-13
Onset:0000-00-00
Submitted:2006-07-14
Entered:2006-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 LA / -
MEN: MENINGOCOCCAL POLYSACCHARIDE MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER U1920AA / 0 LA / -
TD: TD ADSORBED, ADULT (NO BRAND NAME) TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER C2457AA / 5 RA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dizziness, Lymphadenopathy, Nausea

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Dizzy, nauseated, developed axillary lymphadenopathy on side with Menactra inoculation.


Changed on 9/14/2014

VAERS ID: 261359 Before After
Age:11.0
Gender:Female
Location:California
Vaccinated:2006-07-13
Onset:0000-00-00
Submitted:2006-07-14
Entered:2006-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 LA / -
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER U1920AA / 0 LA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1920AA / 0 LA / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER C2457AA / 5 RA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2457AA / 5 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Lymphadenopathy, Nausea

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Dizzy, nauseated, developed axillary lymphadenopathy on side with Menactra inoculation.


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