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This is VAERS ID 272399

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272399
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
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

VAERS ID: 272399 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
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

VAERS ID: 272399 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
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

VAERS ID: 272399 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272399&WAYBACKHISTORY=ON


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