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This is VAERS ID 272399

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272399
VAERS Form:
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2007-02-01
Onset:2007-02-02
Submitted:2007-02-07
Entered:2007-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U1892AA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B007AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1065F / 1 LA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: Dizziness, Headache, Hypotension, Somnolence, 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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Early in the am of 2/2/2007, patient woke with sudden onset of vomiting, dizziness, and severe headaches. Seen by primary care physician later in the day with noticeable hypotension. Remained in bed over the weekend, sleeping most of the time and taking"Motrin for headache.


Changed on 12/8/2009

272399 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2007-02-01
Onset:2007-02-02
Submitted:2007-02-07
Entered:2007-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U1892AA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B007AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1065F / 1 LA / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Dizziness, Headache, Hypotension, Somnolence, 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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Early in the am of 2/2/2007, patient woke with sudden onset of vomiting, dizziness, and severe headaches. Seen by primary care physician later in the day with noticeable hypotension. Remained in bed over the weekend, sleeping most of the time and taking"Motrin taking Motrin for headache.


Changed on 1/5/2010

272399 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2007-02-01
Onset:2007-02-02
Submitted:2007-02-07
Entered:2007-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1892AA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B007AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1065F / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Dizziness, Headache, Hypotension, Somnolence, 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 Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Early in the am of 2/2/2007, patient woke with sudden onset of vomiting, dizziness, and severe headaches. Seen by primary care physician later in the day with noticeable hypotension. Remained in bed over the weekend, sleeping most of the time and taking Motrin for headache.


Changed on 4/7/2010

272399 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2007-02-01
Onset:2007-02-02
Submitted:2007-02-07
Entered:2007-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1892AA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B007AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1065F / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Dizziness, Headache, Hypotension, Somnolence, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Early in the am of 2/2/2007, patient woke with sudden onset of vomiting, dizziness, and severe headaches. Seen by primary care physician later in the day with noticeable hypotension. Remained in bed over the weekend, sleeping most of the time and taking Motrin for headache.


Changed on 9/14/2017

272399 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2007-02-01
Onset:2007-02-02
Submitted:2007-02-07
Entered:2007-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1892AA / 0 1 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B007AA / 0 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1065F / 1 2 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Dizziness, Headache, Hypotension, Somnolence, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Early in the am of 2/2/2007, patient woke with sudden onset of vomiting, dizziness, and severe headaches. Seen by primary care physician later in the day with noticeable hypotension. Remained in bed over the weekend, sleeping most of the time and taking Motrin for headache.


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