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This is VAERS ID 263024

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 263024
Age:1.5
Gender:Male
Location:North Carolina
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted:2006-09-11
Entered:2006-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / AVENTIS PASTEUR, INC. U1751AB / 3 RL / IM
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / - - / -
PNC: PNEUMO, 7-VALENT (PREVNAR) / LEDERLE LABORATORIES B08682H / 2 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Medication error

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

Write-up:Wrong vaccine was given Gardasil was given instead of Hep A by mistake.


Changed on 12/8/2009

VAERS ID: 263024 Before After
Age:1.5
Gender:Male
Location:North Carolina
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted:2006-09-11
Entered:2006-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / AVENTIS PASTEUR, INC. SANOFI PASTEUR U1751AB / 3 RL / IM
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. - / - - UN / - UN
PNC: PNEUMO, 7-VALENT (PREVNAR) PNEUMO (PREVNAR) / LEDERLE LABORATORIES WYETH PHARMACEUTICALS, INC B08682H / 2 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Medication error, Wrong drug administered

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

Write-up:Wrong vaccine was given Gardasil was given instead of Hep A by mistake.


Changed on 3/2/2010

VAERS ID: 263024 Before After
Age:1.5
Gender:Male
Location:North Carolina
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted:2006-09-11
Entered:2006-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1751AB / 3 RL / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
PNC: PNEUMO (PREVNAR) PNEUMO (PREVNAR7) / WYETH PHARMACEUTICALS, INC B08682H / 2 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Wrong drug administered

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

Write-up:Wrong vaccine was given Gardasil was given instead of Hep A by mistake.


Changed on 4/7/2010

VAERS ID: 263024 Before After
Age:1.5
Gender:Male
Location:North Carolina
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted:2006-09-11
Entered:2006-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1751AB / 3 RL / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
PNC: PNEUMO (PREVNAR7) PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC B08682H / 2 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Wrong drug administered

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

Write-up:Wrong vaccine was given Gardasil was given instead of Hep A by mistake.


Changed on 8/31/2010

VAERS ID: 263024 Before After
Age:1.5
Gender:Male
Location:North Carolina
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted:2006-09-11
Entered:2006-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1751AB / 3 RL / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH B08682H / 2 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Wrong drug administered

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

Write-up:Wrong vaccine was given Gardasil was given instead of Hep A by mistake.


Changed on 1/4/2011

VAERS ID: 263024 Before After
Age:1.5
Gender:Male
Location:North Carolina
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted:2006-09-11
Entered:2006-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1751AB / 3 RL / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08682H / 2 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Wrong drug administered

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

Write-up:Wrong vaccine was given Gardasil was given instead of Hep A by mistake.


Changed on 4/13/2011

VAERS ID: 263024 Before After
Age:1.5
Gender:Male
Location:North Carolina
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted:2006-09-11
Entered:2006-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1751AB / 3 RL / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08682H / 2 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Wrong drug administered

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

Write-up:Wrong vaccine was given Gardasil was given instead of Hep A by mistake.


Changed on 5/13/2011

VAERS ID: 263024 Before After
Age:1.5
Gender:Male
Location:North Carolina
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted:2006-09-11
Entered:2006-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1751AB / 3 RL / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08682H / 2 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Wrong drug administered

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

Write-up:Wrong vaccine was given Gardasil was given instead of Hep A by mistake.


Changed on 6/11/2011

VAERS ID: 263024 Before After
Age:1.5
Gender:Male
Location:North Carolina
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted:2006-09-11
Entered:2006-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1751AB / 3 RL / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08682H / 2 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Wrong drug administered

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

Write-up:Wrong vaccine was given Gardasil was given instead of Hep A by mistake.


Changed on 2/14/2017

VAERS ID: 263024 Before After
Age:1.5 1.51
Gender:Male
Location:North Carolina
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted:2006-09-11
Entered:2006-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1751AB / 3 RL / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08682H / 2 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Wrong drug administered

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

Write-up:Wrong vaccine was given Gardasil was given instead of Hep A by mistake.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=263024&WAYBACKHISTORY=ON


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