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This is VAERS ID 275225

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 275225
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-03-21
Onset:2007-03-21
Submitted:2007-03-28
Entered:2007-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / - LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U2141AA / - RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Blood glucose, Dizziness, Electrocardiogram normal, Fall, Head injury

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: allergies - Erythromycin, Acanthosis nigricans, overweight
Diagnostic Lab Data: Accucheck 149, via normal EKG normal $g Done at medical center
CDC 'Split Type':

Write-up:Received immunizations at approximately 6:50PM, went to waiting room where brother and sister saw her fall to floor hitting her head (?left side) on a wooden playbox. They said she just stared for about 5 seconds then left arm / shoulder was twitching whe"n RN arrived, patient was conscious and in a chair. She was pale, P68 at a FBV minutes, before 7pm, BP was 108/78, P78 standing. She was still dizzy and c/o headache, so ambulance was called. She was observed in ER and discharged home.


Changed on 12/8/2009

VAERS ID: 275225 Before After
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-03-21
Onset:2007-03-21
Submitted:2007-03-28
Entered:2007-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / - LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U2141AA / - RA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Blood glucose, Dizziness, Electrocardiogram normal, Fall, Head injury, Headache, Muscle twitching, Pallor, Staring

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: allergies - Erythromycin, Acanthosis nigricans, overweight
Diagnostic Lab Data: Accucheck 149, via normal EKG normal $g Done at medical center
CDC 'Split Type':

Write-up:Received immunizations at approximately 6:50PM, went to waiting room where brother and sister saw her fall to floor hitting her head (?left side) on a wooden playbox. They said she just stared for about 5 seconds then left arm / shoulder was twitching whe"n when RN arrived, patient was conscious and in a chair. She was pale, P68 at a FBV minutes, before 7pm, BP was 108/78, P78 standing. She was still dizzy and c/o headache, so ambulance was called. She was observed in ER and discharged home.


Changed on 4/7/2010

VAERS ID: 275225 Before After
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-03-21
Onset:2007-03-21
Submitted:2007-03-28
Entered:2007-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / - LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U2141AA / - RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Blood glucose, Dizziness, Electrocardiogram normal, Fall, Head injury, Headache, Muscle twitching, Pallor, Staring

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: allergies - Erythromycin, Acanthosis nigricans, overweight
Diagnostic Lab Data: Accucheck 149, via normal EKG normal $g Done at medical center
CDC 'Split Type':

Write-up:Received immunizations at approximately 6:50PM, went to waiting room where brother and sister saw her fall to floor hitting her head (?left side) on a wooden playbox. They said she just stared for about 5 seconds then left arm / shoulder was twitching when RN arrived, patient was conscious and in a chair. She was pale, P68 at a FBV minutes, before 7pm, BP was 108/78, P78 standing. She was still dizzy and c/o headache, so ambulance was called. She was observed in ER and discharged home.


Changed on 5/14/2017

VAERS ID: 275225 Before After
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-03-21
Onset:2007-03-21
Submitted:2007-03-28
Entered:2007-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / - LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U2141AA / - RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Blood glucose, Dizziness, Electrocardiogram normal, Fall, Head injury, Headache, Muscle twitching, Pallor, Staring

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: allergies - Erythromycin, Acanthosis nigricans, overweight
Diagnostic Lab Data: Accucheck 149, via normal EKG normal $g Done at medical center
CDC 'Split Type':

Write-up:Received immunizations at approximately 6:50PM, went to waiting room where brother and sister saw her fall to floor hitting her head (?left side) on a wooden playbox. They said she just stared for about 5 seconds then left arm / shoulder was twitching when RN arrived, patient was conscious and in a chair. She was pale, P68 at a FBV minutes, before 7pm, BP was 108/78, P78 standing. She was still dizzy and c/o headache, so ambulance was called. She was observed in ER and discharged home.


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