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This is VAERS ID 273430

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 273430
Age:18.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-01
Onset:2007-03-02
Submitted:2007-03-05
Entered:2007-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U1860AA / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2340AA / 0 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Chills, Headache, Injection site pain, Musculoskeletal stiffness, Injection site swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient awakened early 3/2/07 with fever, chills, nausea and headache. L arm at injection site was tender and puffy. Temperatures ranged from 100.8 to 102.0 throughout the day. 3/3/07-c/o nausea, headache and temp of 100.0 3/4/07- c/o headache and s"tiff neck. 3/5/07-c/o headache


Changed on 12/8/2009

VAERS ID: 273430 Before After
Age:18.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-01
Onset:2007-03-02
Submitted:2007-03-05
Entered:2007-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U1860AA / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2340AA / 0 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Chills, Headache, Injection site pain, Nausea, Pyrexia, Musculoskeletal stiffness, Injection site swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient awakened early 3/2/07 with fever, chills, nausea and headache. L arm at injection site was tender and puffy. Temperatures ranged from 100.8 to 102.0 throughout the day. 3/3/07-c/o nausea, headache and temp of 100.0 3/4/07- c/o headache and s"tiff stiff neck. 3/5/07-c/o headache


Changed on 4/7/2010

VAERS ID: 273430 Before After
Age:18.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-01
Onset:2007-03-02
Submitted:2007-03-05
Entered:2007-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1860AA / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2340AA / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chills, Headache, Injection site pain, Nausea, Pyrexia, Musculoskeletal stiffness, Injection site swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient awakened early 3/2/07 with fever, chills, nausea and headache. L arm at injection site was tender and puffy. Temperatures ranged from 100.8 to 102.0 throughout the day. 3/3/07-c/o nausea, headache and temp of 100.0 3/4/07- c/o headache and stiff neck. 3/5/07-c/o headache


Changed on 5/14/2017

VAERS ID: 273430 Before After
Age:18.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-01
Onset:2007-03-02
Submitted:2007-03-05
Entered:2007-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1860AA / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SANOFI PASTEUR C2340AA / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Chills, Headache, Injection site pain, Nausea, Pyrexia, Musculoskeletal stiffness, Injection site swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient awakened early 3/2/07 with fever, chills, nausea and headache. L arm at injection site was tender and puffy. Temperatures ranged from 100.8 to 102.0 throughout the day. 3/3/07-c/o nausea, headache and temp of 100.0 3/4/07- c/o headache and stiff neck. 3/5/07-c/o headache


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273430&WAYBACKHISTORY=ON


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