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This is VAERS ID 272596

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272596
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: OVCON 50
Current Illness: Amenorrhea, Hirsutism, Allergic reaction to antibiotics
Preexisting Conditions:
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

VAERS ID: 272596 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: OVCON 50
Current Illness: Amenorrhea, Hirsutism, Allergic reaction to antibiotics
Preexisting Conditions:
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

VAERS ID: 272596 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: OVCON 50
Current Illness: Amenorrhea, Hirsutism, Allergic reaction to antibiotics
Preexisting Conditions:
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

VAERS ID: 272596 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: OVCON 50
Current Illness: Amenorrhea, Hirsutism, Allergic reaction to antibiotics
Preexisting Conditions:
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

VAERS ID: 272596 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: OVCON 50
Current Illness: Amenorrhea, Hirsutism, Allergic reaction to antibiotics
Preexisting Conditions:
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

VAERS ID: 272596 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: OVCON 50
Current Illness: Amenorrhea, Hirsutism, Allergic reaction to antibiotics
Preexisting Conditions:
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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272596&WAYBACKHISTORY=ON


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