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This is VAERS ID 274743

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274743
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-14
Onset:2006-12-14
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1162F / 0 - / -
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR - / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Pain in extremity, Pyrexia, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Information has been received from a physician concerning an 18 year old female student (weight 131#, height 66.5/") who on 14-DEC-2006 at 2 pm was vaccinated with the first dose of Gardasil (lot #654540/1162F), IM in the right arm. Concomitant therapy in"cluded Menactra (lot #41974ab), IM in the left arm. On approximately 14-DEC-2006, the patient developed fever T $g 100 within 24 hours of vaccination, her arm was very sore and she /"could not use for 48 hours/". Subsequently on 16-DEC-2006, the patient r


Changed on 12/8/2009

VAERS ID: 274743 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-14
Onset:2006-12-14
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1162F / 0 - / -
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR - / 0 - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Pain in extremity, Pyrexia, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0703USA00931

Write-up: Information has been received from a physician concerning an 18 year old female student (weight 131#, height 66.5/") 66.5") who on 14-DEC-2006 at 2 pm was vaccinated with the first dose of Gardasil (lot #654540/1162F), IM in the right arm. Concomitant therapy in"cluded included Menactra (lot #41974ab), IM in the left arm. On approximately 14-DEC-2006, the patient developed fever T $g 100 within 24 hours of vaccination, her arm was very sore and she /"could "could not use for 48 hours/". hours". Subsequently on 16-DEC-2006, the patient r recovered from fever T $g 100, arm was very sore and could not use arm for 48 hours. Additional information has been requested.


Changed on 4/7/2010

VAERS ID: 274743 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-14
Onset:2006-12-14
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1162F / 0 - / -
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR - / 0 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain in extremity, Pyrexia, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0703USA00931

Write-up: Information has been received from a physician concerning an 18 year old female student (weight 131#, height 66.5") who on 14-DEC-2006 at 2 pm was vaccinated with the first dose of Gardasil (lot #654540/1162F), IM in the right arm. Concomitant therapy included Menactra (lot #41974ab), IM in the left arm. On approximately 14-DEC-2006, the patient developed fever T $g 100 within 24 hours of vaccination, her arm was very sore and she "could not use for 48 hours". Subsequently on 16-DEC-2006, the patient recovered from fever T $g 100, arm was very sore and could not use arm for 48 hours. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 274743 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-14
Onset:2006-12-14
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1162F / 0 - / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR - / 0 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain in extremity, Pyrexia, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0703USA00931

Write-up: Information has been received from a physician concerning an 18 year old female student (weight 131#, height 66.5") who on 14-DEC-2006 at 2 pm was vaccinated with the first dose of Gardasil (lot #654540/1162F), IM in the right arm. Concomitant therapy included Menactra (lot #41974ab), IM in the left arm. On approximately 14-DEC-2006, the patient developed fever T $g 100 within 24 hours of vaccination, her arm was very sore and she "could not use for 48 hours". Subsequently on 16-DEC-2006, the patient recovered from fever T $g 100, arm was very sore and could not use arm for 48 hours. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 274743 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-14
Onset:2006-12-14
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1162F / 0 1 - / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / 0 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain in extremity, Pyrexia, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0703USA00931

Write-up: Information has been received from a physician concerning an 18 year old female student (weight 131#, height 66.5") who on 14-DEC-2006 at 2 pm was vaccinated with the first dose of Gardasil (lot #654540/1162F), IM in the right arm. Concomitant therapy included Menactra (lot #41974ab), IM in the left arm. On approximately 14-DEC-2006, the patient developed fever T $g 100 within 24 hours of vaccination, her arm was very sore and she "could not use for 48 hours". Subsequently on 16-DEC-2006, the patient recovered from fever T $g 100, arm was very sore and could not use arm for 48 hours. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 274743 Before After
VAERS Form:1
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-14
Onset:2006-12-14
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1162F / 1 - / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain in extremity, Pyrexia, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0703USA00931

Write-up: Information has been received from a physician concerning an 18 year old female student (weight 131#, height 66.5") who on 14-DEC-2006 at 2 pm was vaccinated with the first dose of Gardasil (lot #654540/1162F), IM in the right arm. Concomitant therapy included Menactra (lot #41974ab), IM in the left arm. On approximately 14-DEC-2006, the patient developed fever T $g 100 within 24 hours of vaccination, her arm was very sore and she "could not use for 48 hours". Subsequently on 16-DEC-2006, the patient recovered from fever T $g 100, arm was very sore and could not use arm for 48 hours. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 274743 Before After
VAERS Form:1
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-14
Onset:2006-12-14
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1162F / 1 - / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain in extremity, Pyrexia, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0703USA00931

Write-up: Information has been received from a physician concerning an 18 year old female student (weight 131#, height 66.5") who on 14-DEC-2006 at 2 pm was vaccinated with the first dose of Gardasil (lot #654540/1162F), IM in the right arm. Concomitant therapy included Menactra (lot #41974ab), IM in the left arm. On approximately 14-DEC-2006, the patient developed fever T $g 100 within 24 hours of vaccination, her arm was very sore and she "could not use for 48 hours". Subsequently on 16-DEC-2006, the patient recovered from fever T $g 100, arm was very sore and could not use arm for 48 hours. Additional information has been requested.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274743&WAYBACKHISTORY=ON


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