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This is VAERS ID 262847

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 262847
Age:25.0
Gender:Female
Location:Kentucky
Vaccinated:2006-09-06
Onset:2006-09-06
Submitted:2006-09-11
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, INC. U2117AA / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Pain, Swelling, Joint range of motion decreased

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

Write-up:Patient said right deltoid area, became red, swollen, quarter size hard knot, achy, painful to raise arm. Knot was hot to touch.


Changed on 12/8/2009

VAERS ID: 262847 Before After
Age:25.0
Gender:Female
Location:Kentucky
Vaccinated:2006-09-06
Onset:2006-09-06
Submitted:2006-09-11
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, INC. AVENTIS PASTEUR U2117AA / 0 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Erythema, Pain, Swelling, Joint range of motion decreased

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

Write-up:Patient said right deltoid area, became red, swollen, quarter size hard knot, achy, painful to raise arm. Knot was hot to touch.


Changed on 4/7/2010

VAERS ID: 262847 Before After
Age:25.0
Gender:Female
Location:Kentucky
Vaccinated:2006-09-06
Onset:2006-09-06
Submitted:2006-09-11
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U2117AA / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pain, Swelling, Joint range of motion decreased

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

Write-up:Patient said right deltoid area, became red, swollen, quarter size hard knot, achy, painful to raise arm. Knot was hot to touch.


Changed on 5/14/2017

VAERS ID: 262847 Before After
Age:25.0
Gender:Female
Location:Kentucky
Vaccinated:2006-09-06
Onset:2006-09-06
Submitted:2006-09-11
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U2117AA / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Injection site warmth, Pain, Swelling, Joint range of motion decreased

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

Write-up:Patient said right deltoid area, became red, swollen, quarter size hard knot, achy, painful to raise arm. Knot was hot to touch.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=262847&WAYBACKHISTORY=ON


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