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This is VAERS ID 272596

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272596
VAERS Form:
Age:17.0
Gender:Female
Location:Indiana
Vaccinated:2006-12-01
Onset:2006-12-16
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema nodosum

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: OVCON 50
Current Illness: Amenorrhea, Hirsutism, Allergic reaction to antibiotics
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:information has been received from a physician concerning a 17 year old female with amenorrhea, hirsutism and a CECLOR allergy who on 01-DEC-2006 was vaccinated IM with a first dose of Gardasil (yeast). The patient received Menactra concomitantly. Other c"oncomitant therapy included Ovcon 50. On 16-DEC-2006 the patient developed erythema nodosum. The patient sought unspecified medical attention. The patient was treated with a course of steroids and has fully recovered. No laboratory diagnostic tests were p


Changed on 12/8/2009

272596 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Indiana
Vaccinated:2006-12-01
Onset:2006-12-16
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR - / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Erythema nodosum

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: OVCON 50
Current Illness: Amenorrhea, Hirsutism, Allergic reaction to antibiotics
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0701USA04857

Write-up:information has been received from a physician concerning a 17 year old female with amenorrhea, hirsutism and a CECLOR allergy who on 01-DEC-2006 was vaccinated IM with a first dose of Gardasil (yeast). The patient received Menactra concomitantly. Other c"oncomitant concomitant therapy included Ovcon 50. On 16-DEC-2006 the patient developed erythema nodosum. The patient sought unspecified medical attention. The patient was treated with a course of steroids and has fully recovered. No laboratory diagnostic tests were p performed. No product quality complaint was involved. Additional information has been requested.


Changed on 4/7/2010

272596 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Indiana
Vaccinated:2006-12-01
Onset:2006-12-16
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR - / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Erythema nodosum

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: OVCON 50
Current Illness: Amenorrhea, Hirsutism, Allergic reaction to antibiotics
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA04857

Write-up:information has been received from a physician concerning a 17 year old female with amenorrhea, hirsutism and a CECLOR allergy who on 01-DEC-2006 was vaccinated IM with a first dose of Gardasil (yeast). The patient received Menactra concomitantly. Other concomitant therapy included Ovcon 50. On 16-DEC-2006 the patient developed erythema nodosum. The patient sought unspecified medical attention. The patient was treated with a course of steroids and has fully recovered. No laboratory diagnostic tests were performed. No product quality complaint was involved. Additional information has been requested.


Changed on 6/2/2010

272596 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Indiana
Vaccinated:2006-12-01
Onset:2006-12-16
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR - / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Erythema nodosum

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: OVCON 50
Current Illness: Amenorrhea, Hirsutism, Allergic reaction to antibiotics
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA04857

Write-up:information has been received from a physician concerning a 17 year old female with amenorrhea, hirsutism and a CECLOR allergy who on 01-DEC-2006 was vaccinated IM with a first dose of Gardasil (yeast). The patient received Menactra concomitantly. Other concomitant therapy included Ovcon 50. On 16-DEC-2006 the patient developed erythema nodosum. The patient sought unspecified medical attention. The patient was treated with a course of steroids and has fully recovered. No laboratory diagnostic tests were performed. No product quality complaint was involved. Additional information has been requested.


Changed on 6/14/2014

272596 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Indiana
Vaccinated:2006-12-01
Onset:2006-12-16
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Erythema nodosum

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: OVCON 50
Current Illness: Amenorrhea, Hirsutism, Allergic reaction to antibiotics
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA04857

Write-up:information has been received from a physician concerning a 17 year old female with amenorrhea, hirsutism and a CECLOR allergy who on 01-DEC-2006 was vaccinated IM with a first dose of Gardasil (yeast). The patient received Menactra concomitantly. Other concomitant therapy included Ovcon 50. On 16-DEC-2006 the patient developed erythema nodosum. The patient sought unspecified medical attention. The patient was treated with a course of steroids and has fully recovered. No laboratory diagnostic tests were performed. No product quality complaint was involved. Additional information has been requested.


Changed on 5/14/2017

272596 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Indiana
Vaccinated:2006-12-01
Onset:2006-12-16
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Erythema nodosum

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: OVCON 50
Current Illness: Amenorrhea, Hirsutism, Allergic reaction to antibiotics
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA04857

Write-up:information has been received from a physician concerning a 17 year old female with amenorrhea, hirsutism and a CECLOR allergy who on 01-DEC-2006 was vaccinated IM with a first dose of Gardasil (yeast). The patient received Menactra concomitantly. Other concomitant therapy included Ovcon 50. On 16-DEC-2006 the patient developed erythema nodosum. The patient sought unspecified medical attention. The patient was treated with a course of steroids and has fully recovered. No laboratory diagnostic tests were performed. No product quality complaint was involved. Additional information has been requested.


Changed on 9/14/2017

272596 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Indiana
Vaccinated:2006-12-01
Onset:2006-12-16
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UNK UN / -

Administered by: Other      Purchased by: Other
Symptoms: Erythema nodosum

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: OVCON 50
Current Illness: Amenorrhea, Hirsutism, Allergic reaction to antibiotics
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA04857

Write-up:information has been received from a physician concerning a 17 year old female with amenorrhea, hirsutism and a CECLOR allergy who on 01-DEC-2006 was vaccinated IM with a first dose of Gardasil (yeast). The patient received Menactra concomitantly. Other concomitant therapy included Ovcon 50. On 16-DEC-2006 the patient developed erythema nodosum. The patient sought unspecified medical attention. The patient was treated with a course of steroids and has fully recovered. No laboratory diagnostic tests were performed. No product quality complaint was involved. Additional information has been requested.


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