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This is VAERS ID 266639

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 266639
Age:16.0
Gender:Female
Location:Maine
Vaccinated:2006-11-08
Onset:2006-11-08
Submitted:2006-11-13
Entered:2006-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0688F / 0 RA / -
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, INC. U1808AA / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Erythema, Swelling, Tenderness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CONCERTA 54mg
Current Illness: NONE
Preexisting Conditions: Attention-deficit Hyperactivity disorder
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:10.4 cm X 7.0 cm area of redness. Swelling and tenderness. Complain of burning at site left deltoid.


Changed on 12/8/2009

VAERS ID: 266639 Before After
Age:16.0
Gender:Female
Location:Maine
Vaccinated:2006-11-08
Onset:2006-11-08
Submitted:2006-11-13
Entered:2006-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 RA / -
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, INC. AVENTIS PASTEUR U1808AA / 0 LA / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Erythema, Swelling, Tenderness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CONCERTA 54mg
Current Illness: NONE
Preexisting Conditions: Attention-deficit Hyperactivity disorder
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:10.4 cm X 7.0 cm area of redness. Swelling and tenderness. Complain of burning at site left deltoid.


Changed on 4/7/2010

VAERS ID: 266639 Before After
Age:16.0
Gender:Female
Location:Maine
Vaccinated:2006-11-08
Onset:2006-11-08
Submitted:2006-11-13
Entered:2006-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 RA / -
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1808AA / 0 LA / -

Administered by: Private      Purchased by: Other
Symptoms: Erythema, Swelling, Tenderness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CONCERTA 54mg
Current Illness: NONE
Preexisting Conditions: Attention-deficit Hyperactivity disorder
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:10.4 cm X 7.0 cm area of redness. Swelling and tenderness. Complain of burning at site left deltoid.


Changed on 5/14/2017

VAERS ID: 266639 Before After
Age:16.0
Gender:Female
Location:Maine
Vaccinated:2006-11-08
Onset:2006-11-08
Submitted:2006-11-13
Entered:2006-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 RA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1808AA / 0 LA / -

Administered by: Private      Purchased by: Other
Symptoms: Erythema, Swelling, Tenderness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CONCERTA 54mg
Current Illness: NONE
Preexisting Conditions: Attention-deficit Hyperactivity disorder
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:10.4 cm X 7.0 cm area of redness. Swelling and tenderness. Complain of burning at site left deltoid.


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