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This is VAERS ID 273099

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 273099
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-02-22
Onset:2007-02-22
Submitted:2007-02-23
Entered:2007-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB141AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U2158AA / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B007AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Chest discomfort, Cough, Dyspnoea, Hypersensitivity

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: records received 4/5/07-CBC:66 neutrophils. 24.6 lymphocytes.
CDC 'Split Type':

Write-up:None Stated


Changed on 12/8/2009

VAERS ID: 273099 Before After
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-02-22
Onset:2007-02-22
Submitted:2007-02-23
Entered:2007-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB141AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U2158AA / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B007AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Chest discomfort, Cough, Dyspnoea, Hypersensitivity, Tremor, Wheezing

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: records received 4/5/07-CBC:66 neutrophils. 24.6 lymphocytes.
CDC 'Split Type':

Write-up:None Stated 03/05/07-records received from facility: seen in ED for allergic reaction to vaccines. HX of cough, wheezing and SOB few hours prior to ED visit, symptoms began 30 minutes after vaccines. Initially returned to PCP with c/o chest tightness, difficulty breathing, treated with epipen and benadryl and sent to ED. No swelling of mouth, lips or tongue. Allergies to cat (owns a cat). Uses nasonex for nasal congestion. VS P: 141, resp 20 BP 130/91. Treated with solu medol and ranitidine. Tremors, difficulty breathing. PE unremarkable. Lungs clear, no rhonchi, no wheezes. Admitted for IV steroid treatment.


Changed on 4/7/2010

VAERS ID: 273099 Before After
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-02-22
Onset:2007-02-22
Submitted:2007-02-23
Entered:2007-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB141AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U2158AA / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B007AA / 0 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Chest discomfort, Cough, Dyspnoea, Hypersensitivity, Tremor, Wheezing

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: records received 4/5/07-CBC:66 neutrophils. 24.6 lymphocytes.
CDC 'Split Type':

Write-up:None Stated 03/05/07-records received from facility: seen in ED for allergic reaction to vaccines. HX of cough, wheezing and SOB few hours prior to ED visit, symptoms began 30 minutes after vaccines. Initially returned to PCP with c/o chest tightness, difficulty breathing, treated with epipen and benadryl and sent to ED. No swelling of mouth, lips or tongue. Allergies to cat (owns a cat). Uses nasonex for nasal congestion. VS P: 141, resp 20 BP 130/91. Treated with solu medol and ranitidine. Tremors, difficulty breathing. PE unremarkable. Lungs clear, no rhonchi, no wheezes. Admitted for IV steroid treatment.


Changed on 2/14/2017

VAERS ID: 273099 Before After
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-02-22
Onset:2007-02-22
Submitted:2007-02-23
Entered:2007-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB141AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U2158AA / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B007AA / 0 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Chest discomfort, Cough, Dyspnoea, Hypersensitivity, Tremor, Wheezing

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: records received 4/5/07-CBC:66 neutrophils. 24.6 lymphocytes.
CDC 'Split Type':

Write-up:None Stated 03/05/07-records received from facility: seen in ED for allergic reaction to vaccines. HX of cough, wheezing and SOB few hours prior to ED visit, symptoms began 30 minutes after vaccines. Initially returned to PCP with c/o chest tightness, difficulty breathing, treated with epipen and benadryl and sent to ED. No swelling of mouth, lips or tongue. Allergies to cat (owns a cat). Uses nasonex for nasal congestion. VS P: 141, resp 20 BP 130/91. Treated with solu medol and ranitidine. Tremors, difficulty breathing. PE unremarkable. Lungs clear, no rhonchi, no wheezes. Admitted for IV steroid treatment.


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