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This is VAERS ID 273263

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

273263
VAERS Form:
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-02-27
Onset:2007-02-28
Submitted:2007-03-01
Entered:2007-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U2136AA / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Body temperature increased, Pain, Pyrexia, Rhinorrhoea

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: SINGULAIR 5 MG QHS AND ALBUTEROL MDI 2 INHALATIONS PRN AMD ASMANEX INHALER 1 INHALATION A DAY
Current Illness: NONE
Preexisting Conditions: BRONCHIAL ASTHMA; NO ALLERGIES
Allergies:
Diagnostic Lab Data: TEMP= 101.0
CDC 'Split Type':

Write-up:FEELING ACHY AND FEVER (101.0) 48HRS AFTER ADMINISTRATION ALONG WITH VOMITTING X6 THAT NIGHT AND TWICE THE FOLLOWING MORNING. MILD RUNNY NOSE, NO COUGHING, NO WHEEZING, NO HIVES,NO DIARRHEA, MILD ABDOMINAL CRAMPING. NO LETHARGY, NO BEHAVIORAL CHANGES, N"O JOINT PAIN OR MUSCLE WEAKNESS. ADMINISTERED IBUPRIFEN 400 MG PO AT 11AM ON 03-01-07. ADVISED SYMPTOMATIC CARE AND SEEK EMERGENCY SERVICE IF SYMPTOMS PERSIST OR WORSEN.


Changed on 12/8/2009

273263 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-02-27
Onset:2007-02-28
Submitted:2007-03-01
Entered:2007-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U2136AA / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Body temperature increased, Pain, Pyrexia, Rhinorrhoea, 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: SINGULAIR 5 MG QHS AND ALBUTEROL MDI 2 INHALATIONS PRN AMD ASMANEX INHALER 1 INHALATION A DAY
Current Illness: NONE
Preexisting Conditions: BRONCHIAL ASTHMA; NO ALLERGIES
Allergies:
Diagnostic Lab Data: TEMP= 101.0
CDC 'Split Type':

Write-up:FEELING ACHY AND FEVER (101.0) 48HRS AFTER ADMINISTRATION ALONG WITH VOMITTING X6 THAT NIGHT AND TWICE THE FOLLOWING MORNING. MILD RUNNY NOSE, NO COUGHING, NO WHEEZING, NO HIVES,NO DIARRHEA, MILD ABDOMINAL CRAMPING. NO LETHARGY, NO BEHAVIORAL CHANGES, N"O NO JOINT PAIN OR MUSCLE WEAKNESS. ADMINISTERED IBUPRIFEN 400 MG PO AT 11AM ON 03-01-07. ADVISED SYMPTOMATIC CARE AND SEEK EMERGENCY SERVICE IF SYMPTOMS PERSIST OR WORSEN.


Changed on 4/7/2010

273263 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-02-27
Onset:2007-02-28
Submitted:2007-03-01
Entered:2007-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U2136AA / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Body temperature increased, Pain, Pyrexia, Rhinorrhoea, 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: SINGULAIR 5 MG QHS AND ALBUTEROL MDI 2 INHALATIONS PRN AMD ASMANEX INHALER 1 INHALATION A DAY
Current Illness: NONE
Preexisting Conditions: BRONCHIAL ASTHMA; NO ALLERGIES
Allergies:
Diagnostic Lab Data: TEMP= 101.0
CDC 'Split Type':

Write-up:FEELING ACHY AND FEVER (101.0) 48HRS AFTER ADMINISTRATION ALONG WITH VOMITTING X6 THAT NIGHT AND TWICE THE FOLLOWING MORNING. MILD RUNNY NOSE, NO COUGHING, NO WHEEZING, NO HIVES,NO DIARRHEA, MILD ABDOMINAL CRAMPING. NO LETHARGY, NO BEHAVIORAL CHANGES, NO JOINT PAIN OR MUSCLE WEAKNESS. ADMINISTERED IBUPRIFEN 400 MG PO AT 11AM ON 03-01-07. ADVISED SYMPTOMATIC CARE AND SEEK EMERGENCY SERVICE IF SYMPTOMS PERSIST OR WORSEN.


Changed on 5/14/2017

273263 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-02-27
Onset:2007-02-28
Submitted:2007-03-01
Entered:2007-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U2136AA / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Body temperature increased, Pain, Pyrexia, Rhinorrhoea, 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: SINGULAIR 5 MG QHS AND ALBUTEROL MDI 2 INHALATIONS PRN AMD ASMANEX INHALER 1 INHALATION A DAY
Current Illness: NONE
Preexisting Conditions: BRONCHIAL ASTHMA; NO ALLERGIES
Allergies:
Diagnostic Lab Data: TEMP= 101.0
CDC 'Split Type':

Write-up:FEELING ACHY AND FEVER (101.0) 48HRS AFTER ADMINISTRATION ALONG WITH VOMITTING X6 THAT NIGHT AND TWICE THE FOLLOWING MORNING. MILD RUNNY NOSE, NO COUGHING, NO WHEEZING, NO HIVES,NO DIARRHEA, MILD ABDOMINAL CRAMPING. NO LETHARGY, NO BEHAVIORAL CHANGES, NO JOINT PAIN OR MUSCLE WEAKNESS. ADMINISTERED IBUPRIFEN 400 MG PO AT 11AM ON 03-01-07. ADVISED SYMPTOMATIC CARE AND SEEK EMERGENCY SERVICE IF SYMPTOMS PERSIST OR WORSEN.


Changed on 9/14/2017

273263 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-02-27
Onset:2007-02-28
Submitted:2007-03-01
Entered:2007-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / 0 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2136AA / 0 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Body temperature increased, Pain, Pyrexia, Rhinorrhoea, 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: SINGULAIR 5 MG QHS AND ALBUTEROL MDI 2 INHALATIONS PRN AMD ASMANEX INHALER 1 INHALATION A DAY
Current Illness: NONE
Preexisting Conditions: BRONCHIAL ASTHMA; NO ALLERGIES
Allergies:
Diagnostic Lab Data: TEMP= 101.0
CDC 'Split Type':

Write-up:FEELING ACHY AND FEVER (101.0) 48HRS AFTER ADMINISTRATION ALONG WITH VOMITTING X6 THAT NIGHT AND TWICE THE FOLLOWING MORNING. MILD RUNNY NOSE, NO COUGHING, NO WHEEZING, NO HIVES,NO DIARRHEA, MILD ABDOMINAL CRAMPING. NO LETHARGY, NO BEHAVIORAL CHANGES, NO JOINT PAIN OR MUSCLE WEAKNESS. ADMINISTERED IBUPRIFEN 400 MG PO AT 11AM ON 03-01-07. ADVISED SYMPTOMATIC CARE AND SEEK EMERGENCY SERVICE IF SYMPTOMS PERSIST OR WORSEN.


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