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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
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
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
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
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
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
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
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
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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