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This is VAERS ID 264950

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

264950
VAERS Form:
Age:57.0
Gender:Female
Location:Wisconsin
Vaccinated:2006-09-19
Onset:2006-10-03
Submitted:2006-10-16
Entered:2006-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0039F / 0 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0296R / - RA / SC

Administered by: Other      Purchased by: Unknown
Symptoms: Chest pain, Hypoaesthesia, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: NONE
Preexisting Conditions: Valve Proplase in distant past, neg heart cath 2 yrs ago.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:09/19/2006 MMR and HBV adm 1, 10/03/2006 swollen glands, numbness and tingling of arm and legs bilat. Pt called hotline and states she was told this was from the MMR. 10/15/06 chest pain. Pt wonders if this is related to immunizations.


Changed on 12/8/2009

264950 Before After
VAERS Form:
Age:57.0
Gender:Female
Location:Wisconsin
Vaccinated:2006-09-19
Onset:2006-10-03
Submitted:2006-10-16
Entered:2006-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0039F / 0 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0296R / - RA / SC

Administered by: Other      Purchased by: Unknown Other
Symptoms: Chest pain, Hypoaesthesia, Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: NONE
Preexisting Conditions: Valve Proplase in distant past, neg heart cath 2 yrs ago.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:09/19/2006 MMR and HBV adm 1, 10/03/2006 swollen glands, numbness and tingling of arm and legs bilat. Pt called hotline and states she was told this was from the MMR. 10/15/06 chest pain. Pt wonders if this is related to immunizations.


Changed on 5/14/2017

264950 Before After
VAERS Form:
Age:57.0
Gender:Female
Location:Wisconsin
Vaccinated:2006-09-19
Onset:2006-10-03
Submitted:2006-10-16
Entered:2006-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0039F / 0 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0296R / - RA / SC

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Hypoaesthesia, Lymphadenopathy, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: NONE
Preexisting Conditions: Valve Proplase in distant past, neg heart cath 2 yrs ago.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:09/19/2006 MMR and HBV adm 1, 10/03/2006 swollen glands, numbness and tingling of arm and legs bilat. Pt called hotline and states she was told this was from the MMR. 10/15/06 chest pain. Pt wonders if this is related to immunizations.


Changed on 9/14/2017

264950 Before After
VAERS Form:(blank) 1
Age:57.0
Gender:Female
Location:Wisconsin
Vaccinated:2006-09-19
Onset:2006-10-03
Submitted:2006-10-16
Entered:2006-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0039F / 0 1 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0296R / - UNK RA / SC

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Hypoaesthesia, Lymphadenopathy, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness: NONE
Preexisting Conditions: Valve Proplase in distant past, neg heart cath 2 yrs ago.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:09/19/2006 MMR and HBV adm 1, 10/03/2006 swollen glands, numbness and tingling of arm and legs bilat. Pt called hotline and states she was told this was from the MMR. 10/15/06 chest pain. Pt wonders if this is related to immunizations.


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