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This is VAERS ID 268513

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 268513
Age:14.0
Gender:Female
Location:Minnesota
Vaccinated:2006-12-04
Onset:2006-12-05
Submitted:2006-12-06
Entered:2006-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, INC. U2094AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site reaction, Pruritus

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

Write-up:Local pruritic reaction at injection site without erythema, edema left deltoid.


Changed on 12/8/2009

VAERS ID: 268513 Before After
Age:14.0
Gender:Female
Location:Minnesota
Vaccinated:2006-12-04
Onset:2006-12-05
Submitted:2006-12-06
Entered:2006-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, INC. AVENTIS PASTEUR U2094AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site reaction, Pruritus

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

Write-up:Local pruritic reaction at injection site without erythema, edema left deltoid.


Changed on 4/7/2010

VAERS ID: 268513 Before After
Age:14.0
Gender:Female
Location:Minnesota
Vaccinated:2006-12-04
Onset:2006-12-05
Submitted:2006-12-06
Entered:2006-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U2094AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site reaction, Pruritus

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

Write-up:Local pruritic reaction at injection site without erythema, edema left deltoid.


Changed on 5/14/2017

VAERS ID: 268513 Before After
Age:14.0
Gender:Female
Location:Minnesota
Vaccinated:2006-12-04
Onset:2006-12-05
Submitted:2006-12-06
Entered:2006-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U2094AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site reaction, Pruritus

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

Write-up:Local pruritic reaction at injection site without erythema, edema left deltoid.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=268513&WAYBACKHISTORY=ON


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