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This is VAERS ID 273789

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 273789
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-09
Onset:2007-03-10
Submitted:2007-03-12
Entered:2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00130 / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U1968AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Body temperature increased, Chills

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prevacid 30mg Q day / Allegra
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Elevated temp and chills approx. 16 hours after vaccine given


Changed on 12/8/2009

VAERS ID: 273789 Before After
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-09
Onset:2007-03-10
Submitted:2007-03-12
Entered:2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00130 / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U1968AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Body temperature increased, Chills

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prevacid 30mg Q day / Allegra
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Elevated temp and chills approx. 16 hours after vaccine given


Changed on 4/7/2010

VAERS ID: 273789 Before After
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-09
Onset:2007-03-10
Submitted:2007-03-12
Entered:2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00130 / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1968AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Body temperature increased, Chills

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prevacid 30mg Q day / Allegra
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Elevated temp and chills approx. 16 hours after vaccine given


Changed on 5/14/2017

VAERS ID: 273789 Before After
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2007-03-09
Onset:2007-03-10
Submitted:2007-03-12
Entered:2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00130 / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1968AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Body temperature increased, Chills

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prevacid 30mg Q day / Allegra
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Elevated temp and chills approx. 16 hours after vaccine given


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273789&WAYBACKHISTORY=ON


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