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This is VAERS ID 271892

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271892
VAERS Form:
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:2007-02-05
Onset:2007-02-05
Submitted:2007-02-05
Entered:2007-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1280F / 0 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00144 / 0 RA / -
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U2157BA / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Fatigue, Feeling abnormal, Loss of consciousness, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt was receiving Gardasil, Hep A and Then Menactra. Right after administering the Menactra she said I feel funny and passed out. She was out for about 10 seconds. Then vomited 1x. Said she felt really tired.


Changed on 12/8/2009

271892 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:2007-02-05
Onset:2007-02-05
Submitted:2007-02-05
Entered:2007-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1280F / 0 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00144 / 0 RA / -
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U2157BA / 0 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Fatigue, Feeling abnormal, Loss of consciousness, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt was receiving Gardasil, Hep A and Then Menactra. Right after administering the Menactra she said I feel funny and passed out. She was out for about 10 seconds. Then vomited 1x. Said she felt really tired.


Changed on 1/5/2010

271892 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:2007-02-05
Onset:2007-02-05
Submitted:2007-02-05
Entered:2007-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1280F / 0 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00144 / 0 RA / -
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U2157BA / 0 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Feeling abnormal, Loss of consciousness, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt was receiving Gardasil, Hep A and Then Menactra. Right after administering the Menactra she said I feel funny and passed out. She was out for about 10 seconds. Then vomited 1x. Said she felt really tired.


Changed on 4/7/2010

271892 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:2007-02-05
Onset:2007-02-05
Submitted:2007-02-05
Entered:2007-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1280F / 0 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00144 / 0 RA / -
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2157BA / 0 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Feeling abnormal, Loss of consciousness, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt was receiving Gardasil, Hep A and Then Menactra. Right after administering the Menactra she said I feel funny and passed out. She was out for about 10 seconds. Then vomited 1x. Said she felt really tired.


Changed on 6/14/2014

271892 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:2007-02-05
Onset:2007-02-05
Submitted:2007-02-05
Entered:2007-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1280F / 0 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00144 / 0 RA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2157BA / 0 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Feeling abnormal, Loss of consciousness, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt was receiving Gardasil, Hep A and Then Menactra. Right after administering the Menactra she said I feel funny and passed out. She was out for about 10 seconds. Then vomited 1x. Said she felt really tired.


Changed on 5/14/2017

271892 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:2007-02-05
Onset:2007-02-05
Submitted:2007-02-05
Entered:2007-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1280F / 0 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00144 / 0 RA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2157BA / 0 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Feeling abnormal, Loss of consciousness, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt was receiving Gardasil, Hep A and Then Menactra. Right after administering the Menactra she said I feel funny and passed out. She was out for about 10 seconds. Then vomited 1x. Said she felt really tired.


Changed on 9/14/2017

271892 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:2007-02-05
Onset:2007-02-05
Submitted:2007-02-05
Entered:2007-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1280F / 0 1 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00144 / 0 1 RA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2157BA / 0 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Feeling abnormal, Loss of consciousness, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt was receiving Gardasil, Hep A and Then Menactra. Right after administering the Menactra she said I feel funny and passed out. She was out for about 10 seconds. Then vomited 1x. Said she felt really tired.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271892&WAYBACKHISTORY=ON


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