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This is VAERS ID 270291

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270291
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-28
Onset:2007-01-07
Submitted:2007-01-09
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / - RL / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U1974AB / - LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: not provided
Current Illness: unknown
Preexisting Conditions: not provided
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Reporter states 19 year old female received Menactra on 12/28/06. On Jan. 7, 2007, patient reported tingling sensation from feet to thighs. Returned to school. Will be seen by physician.


Changed on 4/7/2010

270291 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-28
Onset:2007-01-07
Submitted:2007-01-09
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / - RL / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1974AB / - LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: not provided
Current Illness: unknown
Preexisting Conditions: not provided
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Reporter states 19 year old female received Menactra on 12/28/06. On Jan. 7, 2007, patient reported tingling sensation from feet to thighs. Returned to school. Will be seen by physician.


Changed on 5/14/2017

270291 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-28
Onset:2007-01-07
Submitted:2007-01-09
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / - RL / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1974AB / - LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: not provided
Current Illness: unknown
Preexisting Conditions: not provided
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Reporter states 19 year old female received Menactra on 12/28/06. On Jan. 7, 2007, patient reported tingling sensation from feet to thighs. Returned to school. Will be seen by physician.


Changed on 9/14/2017

270291 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-28
Onset:2007-01-07
Submitted:2007-01-09
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / - UNK RL / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1974AB / - UNK LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: not provided
Current Illness: unknown
Preexisting Conditions: not provided
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Reporter states 19 year old female received Menactra on 12/28/06. On Jan. 7, 2007, patient reported tingling sensation from feet to thighs. Returned to school. Will be seen by physician.


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