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This is VAERS ID 274208

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274208
VAERS Form:
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2007-02-08
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
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: Influenza like illness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a physician concerning an 11 year old female who on 08-FEB-2007 was vaccinated with her first dose of Gardasil and experienced flu-like symptoms after the vaccination. Concomitant therapy included Menactra. Unspecified m"edical attention was sought by the patient. The patient''''s outcome was unknown. Additional information has been requested.


Changed on 12/8/2009

274208 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2007-02-08
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
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: Influenza like illness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA01826

Write-up:Information has been received from a physician concerning an 11 year old female who on 08-FEB-2007 was vaccinated with her first dose of Gardasil and experienced flu-like symptoms after the vaccination. Concomitant therapy included Menactra. Unspecified m"edical medical attention was sought by the patient. The patient''''s patient''s outcome was unknown. Additional information has been requested.


Changed on 4/7/2010

274208 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2007-02-08
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
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: Influenza like illness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA01826

Write-up:Information has been received from a physician concerning an 11 year old female who on 08-FEB-2007 was vaccinated with her first dose of Gardasil and experienced flu-like symptoms after the vaccination. Concomitant therapy included Menactra. Unspecified medical attention was sought by the patient. The patient''s outcome was unknown. Additional information has been requested.


Changed on 5/14/2017

274208 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2007-02-08
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
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: Influenza like illness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA01826

Write-up:Information has been received from a physician concerning an 11 year old female who on 08-FEB-2007 was vaccinated with her first dose of Gardasil and experienced flu-like symptoms after the vaccination. Concomitant therapy included Menactra. Unspecified medical attention was sought by the patient. The patient''s outcome was unknown. Additional information has been requested.


Changed on 9/14/2017

274208 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2007-02-08
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UNK UN / -

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA01826

Write-up:Information has been received from a physician concerning an 11 year old female who on 08-FEB-2007 was vaccinated with her first dose of Gardasil and experienced flu-like symptoms after the vaccination. Concomitant therapy included Menactra. Unspecified medical attention was sought by the patient. The patient''s outcome was unknown. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274208&WAYBACKHISTORY=ON


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