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This is VAERS ID 261359

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

261359
VAERS Form:
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
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: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 12/8/2009

261359 Before After
VAERS Form:
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
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: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 9/14/2014

261359 Before After
VAERS Form:
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
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: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 9/14/2017

261359 Before After
VAERS Form:(blank) 1
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 1 LA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1920AA / 0 1 LA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2457AA / 5 6 RA / -

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

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: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


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